Kentucky Delegation Checklist
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How to fill out Delegation Checklist?
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FAQ
RNs and RPNs can delegate and accept delegation if they are registered in the General, Extended or Emergency Assignment Class. RNs and RPNs cannot delegate the controlled act of dispensing a drug.
The 5 rights of delegation serve to guide appropriate transfer of responsibility for the performance of an activity or task to another person. These "rights" are defined as having the right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.
Tasks that are not eligible for nurse delegation include central line maintenance, sterile procedures, medication administration by injection (with the exception of insulin injections), and any task which requires nursing judgment.
KRS 314.011(2) defines "delegation" as:Directing a competent person to perform a selected nursing activity or task in a selected situation under the nurse's supervision and pursuant to administrative regulations promulgated by the board in accordance with the provisions of KRS Chapter 13A.
The licensed nurse cannot delegate nursing judgment or any activity that will involve nursing judgment or critical decision making. Nursing responsibilities are delegated by someone who has the authority to delegate. The delegated responsibility is within the delegator's scope of practice.
The 5 rights of delegation serve to guide appropriate transfer of responsibility for the performance of an activity or task to another person. These "rights" are defined as having the right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.
In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated. But if the patient is morbidly obese, recovering from surgery, or frail, work closely with the UAP or perform the care yourself.
An LPN may delegate tasks such as ambulating or feeding a patient to the CNA. The question of when a nurse should delegate is dependent on many factors. Usually, nurses delegate when they need help to prevent patient care delay.
Although there is considerable variation in the language used to talk about delegation, ANA and NCSBN both defined delegation as the process for a nurse to direct another person to perform nursing tasks and activities.
Rationale: Only a licensed nurse can delegate. In addition, because they are responsible, they need to provide direction, determine who is going to carry out the delegated responsibility, and assist or perform the responsibility him/herself, if he or she deems that appropriate under the given circumstances.
