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For example, an RN might delegate PO med passes to the LPN. 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.
5 Levels of Remarkably Effective DelegationLevel 1 Delegation: Assess and Report.Level 2 Delegation: Recommend.Level 3 Delegation: Develop Action Plan.Level 4 Delegation: Make The Decision.Level 5 Delegation: Full Delegation.
A registered nurse shall authorize and monitor medication administration and non-complex tasks performed by direct service workers. A registered nurse may delegate to a licensed practical nurse components of the training and supervision of the DSW. This decision is based upon assessment of the task to be performed.
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. NPs cannot delegate the following controlled acts: prescribing, dispensing, selling or compounding medication.
Delegation generally involves assignment of the performance of activities or tasks related to patient care to unlicensed assistive personnel while retaining accountability for the outcome. The registered nurse cannot delegate responsibilities related to making nursing judgments.
4 Steps to Nursing DelegationKnow your resources. If you're not sure about which tasks can be delegated, know where to look this information up.Build rapport.Communicate clearly and respectfully.Don't forget to follow up.
The licensed nurse cannot delegate any activity that requires clinical reasoning, nursing judgment or critical decision making. The licensed nurse must ultimately make the final decision whether an activity is appropriate to delegate to the delegatee based on the Five Rights of Delegation (NCSBN, 1995, 1996).
4 Steps to Nursing DelegationKnow your resources. If you're not sure about which tasks can be delegated, know where to look this information up.Build rapport.Communicate clearly and respectfully.Don't forget to follow up.
In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.
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.