chapter 20 Flashcards

1
Q

Delegation

A

Can be defined as getting work done through others or as directing the performance of one or more people to accomplish organizational goals

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2
Q

ANA definition of delegation

A

The transfer of responsibility for the performance of a task from one person to another

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3
Q

NCBSN definition of delegation

A

Transferring to a competent individual the authority to perform a selected nursing task in a situation

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4
Q

What is the mark of a great leader?

A

When she or he can recognize the excellent performance of someone else and allow others to shine for their accomplishments

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5
Q

Strategies for successful delegation

A

plan ahead, identify necessary skill and education levels to complete the delegated task, select capable personnel, communicate goals clearly, empower the delegate, set deadlines and monitor progress, monitor there role and provide guidance, evaluate performance, reward punishmenmt

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6
Q

Delegation strategies

A
  1. plan ahead
  2. delegate before you become overwhelmed
  3. identify skill or educational level necessary to do the job
  4. look for employees who are innovative and willing to take risks
  5. communicate purpose and goal of task, any limitations for task completion, and expectations for reporting
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7
Q

State NPA essential elements regarding delegation

A
  1. States NPA definition of delegation
  2. Items that can’t be delegated
  3. Items that can’t be routinely delegated
  4. Guidelines for RNs about tasks that can be delegated
  5. A description of professional nursing practice
  6. Description of LVN/LPN nursing practice and unlicensed nursing roles
  7. The degree of supervision required to complete a task
  8. The guidelines for lowering delegation risks
  9. Warnings about innapropiate delegation
  10. If there is a restricted use of the word “nurse” to linseed staff
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8
Q

Responsibility is…………..when a task is delegated

A

shared

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9
Q

What is a reflection of the legitimate authority inherent in the management role?

A

The right to delegate and the ability to provide formal rewards for successful completion delegated tasks

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10
Q

Common delegating errors

A

underdelegating, over delegating, improper delegating

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11
Q

underdelegating

A

frequently stems from the individuals false assumption that delegation may be interpreted as a lack of ability on his or her part to do the job correctly or completely

  • time
  • fear of giving someone else a task that you’re responsible for
  • lack experience in the job or delegation
  • difficulty assuming manager role
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12
Q

overdelegating

A
  • poor managers of time

- feel insecure in their ability to perform a task

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13
Q

improper delegation

A

delegating at the wrong time, to the wrong person, or for the wrong reason

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14
Q

5 right of delegation

A
  1. Right task: one that is delegable for a specific patient
  2. Right circumstances: appropriate patient setting, available resources, and other relevant factors considered
  3. Right person: right person is delegating the right task to the right person to be performed on the right person
  4. Right direction/communication: clear, concise description of the task, including its objective, limits, and expectations
  5. Right level of supervision: Appropriate monitoring, evaluation, intervention, as needed, and feedback
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15
Q

Guidelines so organizations do not result in unsafe work environment

A
  1. organizations must have a clearly defined structure where RNs are recognized as leaders of the health-care team
  2. job descriptions clearly define roles and responsibilities of all
  3. educational programs are developed to help personnel learn roles and responsibilities of each others roles
  4. adequate programs are developed to to foster leadership and delegation
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16
Q

What should nurses be aware of when assigning tasks to an NAP

A

job description, knowledge base, and demonstrated skills of each position

17
Q

NAPs may be able to…

A

insert catheters, read electrocardiograms, suction tracheostomy tubes, change sterile dressing, and perform other traditional nursing functions

18
Q

Decision tree for delegation

A

includes step-by-step analysis nurses can use to decide whether a task should be delegated

19
Q

NCSBN criteria for delegation to a UAP

A
  1. frequently recur in the daily care of a client or group of clients
  2. are performed according to an eat (standardized) sequence of steps
  3. involve little or no modification from one client-care situation to another
  4. may be performed w/predictable outcome
  5. dont involve ongoing decision making, interpretation, assessment
  6. dont endanger the health or well-being of clients
  7. are allowed by agency policy/procedures
20
Q

6 cultural phenomena that must be considered when working with culturally diverse staff

A
  1. communication
  2. Space
  3. Social organization
  4. Time
  5. Environmental Control
  6. Biologic Variations