Delegation PowerPoint

Delegation

The transfer of responsibility for the performance of a task from one individual to another while retaining the accountability for the outcome.

Responsibility

The obligation involved when one accepts an assignment.

Accountability

Being responsible and answerable for the actions or inactions of oneself or others in the context of delegation.

Authority

The right to act or command the
action of others, based on the Texas Nurse
Practice Act.

Supervision

The provision of guidance or direction, oversight, evaluation ,and follow-up by the licensed nurse for the accomplishment of a delegated nursing task by a UAP.

Competence

The ability to perform a skill according to a set procedural standard.

• Assess, plan, monitor, and evaluate all patients

• Manage complex and unstable patients

• Handle patients with unpredictable outcomes

What are the key responsibilities of RNs according to the RN Nurse Practice Act (NPA)?

• Care for stable patients with predictable outcomes

• Work under the direction of the RN

• Be responsible for their actions within their scope of practice

What are the key responsibilities of LVNs according to the LVN Nurse Practice Act (NPA)?

• Potential for harm

• Complexity of the task

• Amount of problem-solving involved

• Unpredictability of outcome

• Level of Patient interaction

Five factors that must be assessed before deciding to delegate?

Potential for harm

Which delegation factor involves assessing the risk of harm to the patient in the delegated task?

Task complexity

Which delegation factor involves assigning simple tasks that require basic psychomotor skills and minimal judgment?

Amount of problem solving

Which delegation factor advises against delegating simple tasks that require problem-solving, creativity, or special attention?

Unpredictability of outcome

Which delegation factor involves avoiding tasks with unclear or unpredictable outcomes?

Level of patient interaction

Which delegation factor emphasizes the importance of time spent with a patient to build rapport and trust, recognizing that others may lack communication skills?

• Right task

• Right Circumstance

• Right Person

• Right Directions and Communication

• Right Supervision and Evaluation

National Council of State Boards of Nursing (NCSBN) Five rights of Delegation?

• Has RN assessed client’s care needs?

• Is task appropriate for delegation?

• Can UAP safely perform the task?

• Can UAP perform task without nursing judgment?

• Is UAP clearly identified?

• Has RN instructed or verified UAP competency?

• Can RN periodically evaluate the delegation?

• Is RN supervision adequate of the UAP?

Texas BON Delegation Model – Acute Care

• Client stability

• UAP competency

• Task nature

• RN’s availability and proximity

Adequate RN supervision of the UAP is based on what?

• Fear of being judged

• Fear of being disliked

• Fear of appearing incapable

• Lack of confidence

• Lack of knowledge

• Poor communication skills

Under-delegation may be caused by?

• Experienced staff can assist with delegation

• Role & responsibility clarification

• Experienced staff can collaborate with the new RN.

What can help under-delegation?

• Discomfort with tasks

• Disorganization

• Avoidance of responsibility

• Excessive focus on paperwork

• Improper delegation

Over-delegation can be caused by?

• Admin support

• Delegation training

• Awareness of staff competency

What can help Over-delegation?