leadership - prioritization and delegation

what is the difference between a leader and a manager?

leaders select and assume a role while managers are assigned or appointed to a role

what is the difference between leadership and management?

management is a problem-oriented process while leadership is a behavior—ability to bring others to action

what is delegation?

the act of direction another person to perform nursing tasks and activities. it is a transfer of responsibility (ANA) or authority (NCSBN). nurse retains accountability for delegation.

what is supervision?

provision, guidance, direction, oversight, and evaluation of delegated nursing task

what are the steps to the delegation decision tree?

1. assessment and planning

2. communication

3. surveillance and supervision

4. evaluation and feedback

what is accountability?

being responsible and answerable for what one has done

what are nurses accountable FOR

• decision to delegate

• delegated task

• client outcomes

what are nurses accountable TO

• self

• client

• employer

• licensing board

• profession

what are the five rights of clinical delegation?

• right task

• right circumstances

• right person

• right direction and communication

• right supervision and evaluation

what can LPN/LVNs perform?

• dressing change

• suctioning

• urinary catheterization

• PO, SUBQ, IM med administration

what cannot LPN/LVNs perform?

• ADPIE

• manage IV solutions/meds (can determine if IV site is inflamed)