Delegation in Nursing
Delegation in Nursing refers to assigning of nursing duties to a junior nursing staff or an individual who has not undergone nursing training. It is an important aspect of nursing since it enables patients to receive healthcare services any time they are required. It is important to note that the delegating nurse remains accountable for the activities delegated. Consequently, they are as well responsible for the activities they delegate (Berman et al. 2012).
In delegation in nursing, there are some factors which the registered nurse should factor out. They are referred to as the rights of delegation. To begin with, the should assess a situation and make a decision on which activity can be delegated to another individual, that is, the right task for the right patient (Dalton & Levett-Jones, 2015). The task to be delegated depends on the staff’s level of competency and availability of supervision.
Therefore, the registered nurse should make judgment on the level of supervision which would fit the circumstance (Cowan, Brunero, Lamont & Joyce, 2015). Also, the nurse should identify the healthcare needs to be addressed by the delegated task and what will be the outcome. Delegation in nursing has to consider Nursing ethics.
Moreover, the RN takes into account the skills and capabilities of the delegatee to be in a position to assign a given task. Finally, there should be clear communication on what, how and when a particular task should be done. It involves the purpose, the goal and limitations. Finally, it is the responsibility of the registered nurse to monitor and after that evaluate both the patient and the performance of the staff for the delegated tasks (Dalton & Levett-Jones, 2015). The RN intervenes for the patient and provides feedback so as t enhance improvement in case a similar function is given out.
According to the Nursing and Midwifery Board of Australia, a registered nurse is usually held accountable for direct supervision and delegated tasks. During a nurses period of practice, there are so many issues that come up, and she is required to analyze and think critically pertaining an issue and come up with an intervention (Nursing and Midwifery Board of Australia, 2012).
A registered nurse is also supposed to utilize delegation, supervision, and coordination to ensure the best outcome for the patients. The registered nurse delegates nursing activities to enrolled nurses and others in line with their scope of practice or any other clinical or non-clinical personnel. Also, the RN should ensure that the delegated method is safe and right through provision of proper direction and supervision.
To begin with, I would attend to the collapsed post-operative patient who had collapsed. This is an emergency and needs to be attended to immediately so as to offer resuscitation. Meanwhile, I would delegate to the nurse assistant to attend to Mrs. Smith visitor, and clear information would be given to her on the activities to carry out.
Also, I would delegate to the enrolled nurse to give medication to the patient awaiting cardiac catheterization. Then, the enrolled nurse and I would attend to the patient with the cannula that had tissued to ensure she receives her due medication. The registered nurse would demonstrate to the enrolled nurse on how it has done since she has a responsibility to teach her colleagues. I would then delegate the Clerk to liaise with the maintenance to attend to the blocked toilet
Finally, I would go to discuss the medication error that had occurred the previous week with the medical consultant The Registered Nurse remains accountable for all activities that take place in her unit (Berman et al. 2012). It is, therefore, to follow the rights of delegation so as to ensure best patient care outcomes. Finally, the enrolled nurse would be requested to administer medication to the patient before It is important to note that, after delegation, a registered nurse should accept accountability for decisions actions and responsibilities for the actions of the others whom she has delegated responsibilities.
References
Berman, A., Snyder, S.J., Kozier, B., Erb, G., Levett-Jones T., Dwyer, T., Hales, M., Harvey, N., & Stanley, D. (2012). Kozier and erb’s fundamentals of nursing (2nd ed.). Vol 2, NSW: Pearson Sydney Australia.
Cowan, D., Brunero, S., Lamont, S., & Joyce, M. (2015). Direct care activities for assistants in nursing in inpatient mental health settings in Australia: A modified Delphi study. Collegian, 22(1), 53-60.
Cowen, P. S., & Moorhead, S. (2014). Current issues in nursing. Elsevier Health Sciences.
Dalton, L., Gee, T., & Levett-Jones, T. (2015). Using clinical reasoning and simulation-based education to ‘flip’the Enrolled Nurse curriculum. Australian Journal of Advanced Nursing, 33(2), 29-35.
Duffield, C., Roche, M., Twigg, D., Williams, A., & Clarke, S. (2016). A protocol to assess the impact of adding nursing support workers to ward staffing. Journal of advanced nursing.
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Lee, C. Y., Beanland, C., Goeman, D., Johnson, A., Thorn, J., Koch, S., & Elliott, R. A. (2015). Evaluation of a support worker role, within a nurse delegation and supervision model, for provision of medicines support for older people living at home: the Workforce Innovation for Safe and Effective (WISE) Medicines Care study. BMC health services research, 15(1), 460.
McCarthy, G., Cornally, N., O’Mahoney, C., White, G., & Weathers, E. (2013). Emergency nurses: procedures performed and competence in practice. International Emergency Nursing, 21(1), 50-57.
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