Delegation Flashcards
(33 cards)
Leadership (macro)
interactive process that provides needed guidance and direction
Delegation (micro)
transference of responsibility and authority to another competent healthcare worker (maintain accountability but transfer responsibility)
Delegation is
professional activity, can delegate laterally to coworkers or down to UAP (ex: techs). delegation - power transferred (responsibility to perform a task) but remain ACCOUNTABLE. frees nurse to make judgments, use nurse process/coordinate care
UAP
unlicensed assistive personnel - part of workload delegated tasks from nurses.
Don’t delegate
medication, evaluation, assessment, teaching
ANA definition of delegation
transferring responsibility for performance of an activity while retaining ACCOUNTABILITY for the outcome
Delegate what doesn’t require nursing judgment
don’t delegate critical patient. UAPs don’t have same education - won’t pick up on subtle changes
Benefits of delegation
increase pt satisfaction (more people taking care of needs), improve pt outcomes, help provide cost effective care (not paying RN to change beds), assist w/ good time management
Rights of delegation (KNOW)
right task, right person, right circumstances, right communication, right feedback/eval/supervision
right task
scope of practice - stable pt, predictable outcomes, minimal supervision, no FIRSTS (UAP used to taking care of)
right person
qualified and competent
Right circumstances
frequently occurring event on unit, lots of this type of pts, established sequence of steps/predictable outcome, NO FIRSTS
right communication
communicate CLEARLY objectives, expectations, willingness to be available/they ACCEPT the job (be specific)
right feedback/eval
performed correctly, timely, positive outcome, good communication, what challenges/learned. thank
Delegating to UAPs
know state laws/hospital policy
UAP tasks
vital signs, hygiene, positioning, gathering supplies, clerical/receptionist duties, trips/errands off the unit, clean floor, make bed, collect trays. know terminology but don’t know what it means
UAP task verbs
remind, position, report, feed, bathe, ambulate (if you feel it is ok). NOT monitor, assess, evaluate, instruct, educate, triage, interpret, collaborate, plan.
Don’t delegate nursing ________
process
Getting organized
coordinate daily care/activities. delegation part of time management. need a worksheet to figure out what can be delegated
When delegating consider
level of pt acuity, level of UAP personal capability, possibility of injury, number of times UAP has performed skill, level of decision making needed, fairness of the task (don’t dump on). supervise
Delegating to LPN - licensed practical nurse (2 year degree)
task oriented, don’t evaluate, initiate care plans, complete initial assessments, check or start blood, and some states hang IVs or give IV push drugs. If delegable and unsure, have demonstrate first
In delegation, the individual transfers the __________ to perform a specific activity from their own practice, to an individual ____________ to perform that task, but retains _____________ for the delegated task.
responsibility, qualified, accountability
Delegation is a skill that must be _________ and _________ for proficiency
taught, practiced
What are strategies for successful delegation?
id necessary skill/education level for task, plan ahead, select/empower capable personnel, communicate goals clearly, empower delegate, set deadlines/monitor progress, monitor role/provide guidance, eval performance/reward
