Right Task: Ensuring the task being delegated is appropriate for the delegatee's scope of practice.
Right Circumstance: The context in which the task is being delegated must be suitable, including environment and resources.
Right Person: Delegation must occur to an individual who is competent to perform the task.
Prioritization and Time Management
Set and Reset Priorities:
Clients must be seen in a timely manner.
Interventions must be provided according to urgency and significance.
Steps in client procedures must be completed systematically.
Time Management:
Tasks should be completed:
Immediately when necessary.
By a specific time established in advance.
By the end of the shift to ensure all duties are fulfilled by the end of the work period.
Good Time Management:
Facilitates greater productivity.
Reduces work-related stress levels.
Ensures quality client care is maintained.
Assigning, Delegating, and Supervising
Assigning:
The process of transferring the authority, accountability, and responsibility to another team member to complete a task, which can be done downward or laterally.
Delegating:
Transferring the authority and responsibility to another team member to complete a task with the following considerations:
Right Direction/Communication: Clear communication regarding the expectations of the task.
Right Supervision: Providing necessary oversight to ensure completion.
Evaluation: Assessing the completed task for quality and accuracy.
Decision Making:
Decisions should be based on client need, facility policies, and job descriptions.
Follow ANA Code: Adherence to the American Nurses Association's code of ethics and practice standards.
Cardiac Care Unit (CCU)
Organization:
S.O.A.P. Method: This helps organize thoughts and activities in a factual manner:
S (Subjective): Information told by the client, subjective in nature.
O (Objective): Observable and measurable data gathered through examination or tests.
A (Assessment): Clinical judgment based on subjective and objective data.
P (Plan): The care plan set forth based on assessments.
Client Assessment
Direct Assessment:
Nurse assigned to care for a specific client.
Area Assignment:
Assigning nurses to areas where clients have a shorter length of stay.
Group Assignment:
Sorting clients into groups first, then assigning a nurse to each group.
Discharge Plan
Components of the discharge plan include:
D (Discuss): Engage in discussions to prepare the patient for discharge.
E (Educate): Provide education on post-discharge care and follow-up needs.
A (Assess): Continuous assessment to ensure readiness for discharge.
L (Listen): Actively listen to client concerns regarding discharge to address any issues.