Class 11 Delegation Regulation of Nursing Practice Flashcards
(35 cards)
Getting work done through others
Directing the performance of one or more people
Transferring to a competent individual the authority to perform a selected nursing task in a selected situation
Complex, requires insight and judgment
Delegation
Manager to Employee Delegation Why do it?
Frees the manager to handle problems that are more complex or require a higher level of expertise
Provides learning or ‘stretching’ opportunities for subordinates.
When employee has better expertise or knowledge
Common Errors in Delegation
Under Delegating
Over Delegating
Improperly Delegating
Delegation RN to RN, LPN, HCA
Making up patient assignments Working in a team with LPN or HCA Delegating tasks to LPN or HCA
if you didn’t delegate correctly or didn’t supervise correctly AND
An empokee makes an error
Negligence
Employer Responsibilities
In delegation
Policies and procedures regarding who can delegate to whom
Determines what procedures can be delegated
Select suitable employees
Provide adequate education and supervision
Responsibilities Regarding Delegation
Registered Nurse is accountable for :
Decision to delegate care
Determining that the provider has the necessary knowledge and
skills to perform the task safely and competently
Ongoing assessment of the client and the task
Registered Nurse Assesses Is the client’s health status is stable? Can you predict client’s response to the task? Does the HCA have knowledge & ability to perform the task safely Is the HCA allowed to perform the task?
Five Rights of Delegation
Right task
Right circumstances
Right person
Right directions & communication
Right supervision & evaluation
Professional voice of RN
Advocates for the RN and the public
Promotes excellence in nursing practice, education, research, leadership & policy
Association of Registered Nurses of Manitoba
Name three ways CNA promotes nursing and health of Canadians
It is a national group
“Registered nurses contributing to the health of Canadians
and the advancement of nursing.”
CNA
Protects and supports nurses
MNU
National group
“Advocates for the health and safety of our members and the patients that we care for from coast to coast”
Canadian Federation of Nurses Unions
Protects the public through self- regulation
Regulation is the “forms and processes whereby order, consistency, and control are brought to an occupation and its practices.”
College of Registered Nurses of Manitoba
Allocation of clients or speciic client care tasks to health-care providers. Occurs within the scope of practice of a regulated professional and within the scope of employment of an unregulated care provider.
Assignment
Extending authority to perform a speciic client care task to an unregulated care provider who does not otherwise have the authority to perform the task.
Delegation
What are the five things the RN is required to do when assigning tasks?
- Use the nursing process to determine a plan of care and/or collaborate with other regulated professionals to determine a plan of care before assigning the task.
- Understand the scope of employment of the unregulated care provider and assign only tasks that fall within their competence, position description and employer policies.
- Provide supervision, guidance and collaborate with the unregulated care provider as appropriate within the team.
- Collaborate with the health-care team to determine an appropriate plan for
re-assessment, monitoring and evaluation of the plan of care based on an assessment of risk associated with the client, task, environment and unregulated care provider
(see Appendix A). - Intervene when unsafe or unethical practice is identiied. Interventions may include guidance, teaching and direction, clarification of the plan of care and, if necessary, reporting to the employer.
What is the RN required to do when delegating a task?
- The employer supports delegation of the task.
2, the task would normally be performed by a client or the ir family member as part pf self-care. - The task has defined limits and does not require the nursing process.
- The need, response and possible outcomes have been identified and documented for the client.
— mean that the profession regulates itself through creation of a regulatory body, rather than being managed by government (CNA, 2007)
— “is based on the belief that the profession has the specialized
knowledge necessary to set standards of practice and to evaluate the conduct of its members through peer review” (Storch, 2010, p. 201).
Self-regulation
— to ensure protection of the public
— carry out activities and govern regulated members in an effective manner to protect and serve the public interest; otherwise, it risks having the privilege of self regulation revoked.
REGULATORY BODY’s main responsibility
- organizations that represent workers in their negotiations with employers
- working women and men joining together to gain strength in numbers and presenting a united voice to address issues of concern and create safe work environments
- provide their members with many benefits and supports
- primary purpose of a union is to engage in collective bargaining with the employer to determine issues related to wages, terms and conditions of work, and worker security, and to support workers during conflict
Labour Union
It is a process whereby members of a profession, supported by
their union, meet with representatives for the employer and discuss and negotiate agreements on key issues and concerns
Overall goal is to ensure that mutual agreement on issues of employee safety
and fair treatment on the job are defined and enacted
Collective Bargaining Agreement (CBA)
national professional voice for registered nurses, representing almost 139,000 RNs.
CNA
works to advance nursing excellence in order to
(1) achieve positive health outcomes in the public interest;
(2) promote profession-led regulation in the public interest;
(3) act in the public interest for Canadian RNs, providing national and international leadership in nursing and health; and
(4) advocate in the public interest for a publicly funded, not-for-profit health system.
CNA
