...Intake and Output Delegation to an Unlicensed Assistive Personnel XXXXXXX XXXXXXXX XXXXXXX University School of Nursing Nursing is an excellent career and one that is in very high demand. Many times, the workload required of nurses is too much to bare. When working as a nurse, it is often necessary to delegate tasks to others in order to provide the best possible care for a patient. Before delegating to assistive personnel, the nurse must make sure the assistant is competent in performing the desired task. All 5 rights of delegation must be met. These rights include the right task, circumstance, person, direction/communication, & supervision. There are some tasks that a nurse must not delegate to others. Those tasks include the assessment, planning, evaluation and nursing judgment of a patient (Nebraska Department of Health and Human Services, 2004). These tasks are only within the RN’s scope of care and cannot be passed to other members of a team who are there to assist. This paper looks at the care of a 40-year-old male patient with cellulitis and type 2 diabetes. The monitoring of his intake and output are necessary and is an appropriate task to delegate to a nursing assistant. The reasons for delegating this task are the topic of this paper. Before the delegation is made to the assistant, a delegation decision-making grid was completed to assess the client’s level of stability and the assistant’s competence to see if delegation is appropriate for the patient. This tool...
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...Question I Assigning fault in this case is difficult because all the facts are not presented; there are so many details and questions that are left unanswered to make a justified decision as to who really is at fault in this case. That being said I would not place fault to anyone in this case, however everyone involved in this case has some shared responsibility to the patients care. During report Jane is told that the patient fell without injury around lunch time but has had an uneventful evening. At my current place of work VA Hospital there is a Fall Prevention Program with a Post Fall Management Protocol in place, these are measures that are to be implemented after a fall by nursing, and multidisciplinary team members they are; assess for injuries and determine level of injuries, assess vital signs, including sitting/standing blood pressure and pulse, If diabetic, check blood glucose, notify physician/medical provider, The provider of or on-call physician will assess patient within one hour, provide care, order any needed diagnostic tests, medications, etc., complete a Report of Fall Incident Note and document circumstances of fall in medical record, notify all team members of the patient’s fall, complete Fall Risk assessment and implement high risk fall interventions, if indicated. First 24 hours after the fall: obtain vital signs every 8 hours, observe for possible injuries not evident at the time of the fall (assess limb reflex, joint range of motion, weight bearing)...
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...Priorities and Delegation Paper Delegation and assignment of nursing activities are important parts of the implementation component of practice for the registered nurse and licensed practical nurse. The licensed nurse may delegate and assign nursing care activities to other licensed nurses or unlicensed assistive personnel. This is based on their own licensed level, assessment of the client’s status, clinical competence of licensed and unlicensed personnel, and factors in each practice setting. Before assigning and delegating nursing activities to staff, the nurse needs information about the staff so that they can confidently assign them to the patients. One must know the legal roles in RNs and LPNs before delegation can occur. Delegation by RNs and LPNs must be within their scope or practice. Duties and responsibilities vary in different states. According to the Massachusetts Nurse Practice Act in the state of Massachusetts, nurses may assign and delegate the UAP any activities that do not require nursing assessment and judgment during implementation. In addition, they can allow the UAP to collect, report, and document simple data. Furthermore, UAP may be involved in activities that assist the patient in meeting basic human needs such as nutrition, hydration, mobility, comfort, elimination, socialization, rest and hygiene. In the state of Massachusetts, there are four nursing activities that must not be delegated to the patients. These activities include...
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...Effective Delegation Erik Blashak Clarion University of PA Nurs 340: Nursing in Transition September 19, 2016 Effective Delegation as a Nurse Manager Gaudenzia, Common Ground is located in Harrisburg, Pennsylvania. The facility is a 34 bed in-patient, non hospital, drug and alcohol rehabilitation. It is also licensed for dual diagnosed clients, and has a ten bed detoxification unit. There are ten female beds and twenty four male beds, including the detoxification clients. The client turnover rate is very high, and this adds pressure to the nursing department. There are two registered nurses and four licensed practical nurses on staff. At least one nurse is on duty twenty four hours a day. There is one nurse manager who works on the floor. The average nurse ratio is 17:1. The reason it is so high is because most clients are medically stable once they are done with detoxification. There are many nursing...
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...Delegation in nursing is the most evident but yet most overlooked of management skills. Integrating this ability is an essential constituent within the scope of the nursing practice. The American Nursing Association (2006) defines delegation as, “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”. With the anticipation of the baby-boomer generation and the utilization of unlicensed nursing assistive personnel (NAP) on the rise; how will healthcare prepare for such conditions? By distinguishing the nature of communication as well as personal interaction during delegation, may better clarify how both roles work together to carry out patient care and...
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...Delegation is a vital skill in Nursing and it is by entrusting a task to another less senior staff. The cycle follows from the sister nurse to the staff nurse going to the health care assistants. In this way nurses can provide a quality of practice and care to the patients (NMC Code of Conduct, 2010). The nurse who is allocated in the specific bay is accountable to advocate for her patient if needed. Alongside with nurse is the healthcare assistant who provides personal care, nutritional care, record keeping such as vital signs. The registered nurse will be focusing on medication which should be done carefully to avoid drug errors while, the health care assistants attend to the personal care and maintaining the cleanliness in the specific bay....
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...Delegation When it comes to delegation, the American Nurses Association (ANA) Code of Ethics for Nurses relays that nurse managers have specific duties: Nurses in management and administration have a particular responsibility to provide a safe environment that supports and facilitates appropriate assignment and delegation. This environment includes orientation and skill development; licensure, certification, continuing education, and competency verification; adequate and flexible staffing; and policies that protect both the patient and the nurse from inappropriate assignment or delegation of nursing responsibilities, activities, or tasks (American Nurses Association, 2015). How I accomplish these duties as the manager of the department...
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...interested in a nursing career since it provides me an opportunity to help ill people and form a relationship with them to ensure that they are receiving the best nursing care. I believe that I possess the qualities to become a good nurse, namely, compassion, intelligence and the ability to listen and find solutions to problems that arise. I have been interested in continuing my nursing profession since I came to the U.S.A. I was a Registered Nurse in my native country of Romania, for over 17 years. I am seeking clinical experience in Neuro-surgical field since I worked in Romanian’ hospital in the surgical intensive care unit. Some of my experience included drawing blood, performing EKG’s, hanging intravenous medications, dressing changes, participating in the extubation of clients, post-mortem care, checking blood sugar, priming an arterial and central line set up, and enhancing my ability to interact in the therapeutic relationship. There are a number of long-term and short term goals that I would like to achieve when will get in to the nursing program, which would assist me in my professional development as a surgical nurse. My long-term goals are as follows: * To gain a better understanding of challenging roles of nurses in the post anesthesia care unit or operating room. * To further develop my critical thinking and organizational skills by anticipating clients needs in this specialty area. * To gain knowledge and skills in providing nursing care to clients...
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...Helen, I agree with the idea of providing classes to registered nurses so they can completely understand their state and hospital policies. Delegating appropriately may be difficult and may take a while to reach comfort in doing it. There are five steps in the delegation process which include defining the task, deciding on the delegate, describing the task, reaching agreement, and monitoring and providing feedback to the delegate. Each of these steps are elaborated on extensively in Pearson. For example, when completing the first step, which is defining the task, you need to take into consideration the delegates technical and cognitive skills, qualifications, restrictions, training and education and match the task to the delegate. Figuring out some of these things may be time consuming to a nurse who already has a vast amount of different tasks to complete....
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...their team members. 66% of managers say they would like to “increase their use of delegation as a time management and personnel development tool.” To determine whether you are a good candidate for considering delegation as a tool to improve you (and thereby your team’s) performance, take this simple quiz. Yes Do you allow your team members to make mistakes? Do you frequently take work home or work late at the office? Does your team function smoothly when you are absent? Do you over-rule or reverse decisions made by team members? If you were incapacitated for 6 months, could a team member take over smoothly? 6. Do you do some things your team members could be doing? 7. Do your team members take initiative without input from you? 8. When you return from a trip or training, is there a big pile in your in-box? 9. Do your team members delegate to their teams (if applicable)? 10. Do you spend time on details that you would rather spend on planning and supervision? 1. 2. 3. 4. 5. To determine whether delegation may be able to help you, give yourself one point for each answer of Yes on the even-numbered questions (2, 4, 6, 8, and 10), and one point for each answer of No on the odd-numbered questions (1, 3, 5, 7, and 9). The higher your score, the more likely you are to need to use delegation more than you are now. Any score higher than 5 indicates some need for additional delegation of tasks. Delegation, when it is done well, has three important components. 1. It assigns responsibility...
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...SA MP LE HOW-TO BOOKS H OW-TO BOOKS You Can’t Do It All: Effective Delegation for Supervisors Jeanne Baer H OW-TO BOOKS H OW-TO 1 This preview version of our product is protected by copyright law. Copying or distribution of this file is prohibited. SA MP LE You Can’t Do It All: Effective Delegation for Supervisors By Jeanne Baer Coastal Training Technologies Corp. 500 Studio Drive Virginia Beach, VA 23452 You Can’t Do It All: Effective Delegation for Supervisors Jeanne Baer Copyright© 1999 by Coastal Training Technologies Corp. SA MP LE All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that neither the author nor the publisher is engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the services of a competent professional should be sought. Credits: Coastal Training Technologies Corp.: Art Bauer Todd McDonald Editor in Chief: Karen Massetti Miller Designer: Scott Rhone Cover Design and Illustration: Kevin Zdenek Coastal Training Technologies Corp. 500 Studio Drive Virginia Beach...
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...Is Delegation Effective In An Organization? There are a number of reasons why managers don’t delegate. Delegation is more than just a Way of getting people to do things for you. It is also a powerful leadership and coaching tool. A few reasons why managers don’t delegate are: they don’t have the confidence that the Subordinate will do the task effectively and in a timely manner. Another is a fear of losing Credit, lots of managers feel like they will not get the credit for completing the task and as Managers they have more than enough work to delegate the smaller task to subordinates. Then you have the if you want it done right you have to do it your self-managers. The idea of delegating is to save time so that you as a manager can focus on more challenging task like setting goals for your team (planning). This will also allow you time to research resources and activities needed to achieve maximum success (organizing). At the same time you as a manager are now stimulating high performance in your subordinate. This encourages them to achieve goals they have set for them selves (leading). Now that you have more time you can now monitor performance and make changes as needed (Controlling). In the book "Leading Self-Directed Work Teams," author Kimball Fisher writes: "To feel empowered, people need formal authority and all the resources (like the budget, equipment, and time and training) necessary to do something with the new authority...
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...project without knowing that rules were broken. Bill Harmon has been identified to be the most capable of writing the contracts group's new procedures manual that will outline the steps followed in negotiating contracts since he has been working in the contracts group for about three years. Ricky Lee must ensure he clearly understand the assigned task before he delegates the work to Bill Harmon. Ricky Lee will ensure he explains exactly what needs to get done and the expected date of completion. Ricky Lee will provide all of the information needed to complete task and to inform Bill Harmon that he is available any time he has any questions or concerns regarding the project. Ricky and Bill will have a face-to-face discussion for the delegation of work. Email or memo cannot be used as a substitute. This will give the employee the opportunity to ask questions and receive live feedback and confirmation instead of second guessing. Some of the constraints might include the use of company’s resource. This resource can be either human resource or material resources such as computer, equipment or intellectual property. A clear understanding is that the employee cannot utilize other department's personnel to achieve a given task nor can an employee make use of other material resources that are intended for other dedicated applications. The bottom line is that the manager delegating the assignment cannot assume anything. The message must be crystal clear in using any resources to avoid...
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...Delegation Nikevia Gilmore COMM/215 January 19, 2015 Carol J. Amato, M.A. Table of Contents Introduction…………………………………………………………….3 What is Delegation……………………………………………………...3 Pros of Delegation……………………………………………………….3 Con of Delegation………………………………………………………..4 Conclusion……………………………………………………………….4 References/Work Cited…………………………………………………5 Introduction TV personality Anthea Turner once said, “The first rule of management is delegation. Don't try and do everything yourself because you can't.” (Delegation Quotes) Business owners, such as the owner of a Chick-fil-A restaurant located in Marlton, NJ, have to be willing to delegate tasks to their employees and trust that the assigned employee is going to complete the tasks adequately so he can be freed up to take care of other things associated with their business and to avoid unnecessary stress. What is Delegation? A Latin term originating sometime between 1605 and 1615, the term “delegation” is the act of giving control, authority, a job, a duty, etc., to another person. There are three basic elements of delegation: the assignment of duties, granting of authority to enable the subordinates to perform the duties assigned, and the creation of obligation on the part of subordinate to perform duties in an orderly manner. The process of delegation involves four steps. The first step is the assignment of duties to subordinates which entails the owner to decide exactly what duties he wants the subordinate to complete. The second step is the...
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...happen in managing process: “How to deal with heavy workload in case of workforce scarcity” (“How to maximize the effectiveness of teamwork”) The main character of this case is Faisal Sham; he is the supervisor of a seven project engineer group. Since the demand for different versions of his firm’s computer component is rising, the workload has increase dramatically and Faisal still in charge of everything; things might go out of control anytime. On the other hand, two members of his team have shown their interest in helping Faisal with his work on various designs. The solution for this case requires Task delegation process and Team structure. Assuming that the two enthusiastic members are Michael and Ben and they are qualified with the Faisal’s standard, there are two important positions for them: Product main designer and Head of R&D group. The first step of Delegation is Assign responsibility. Since Ben has better has experience in conducting customer research, he should be assigned for Head of R&D. There will be one co-worker in this group to support Ben in making survey and sum-up the result, which is expected to show customer’s taste for computer component. Michael will in charge of Main designer due to his professional skill. Two chosen engineers will assist him in order to build up the most possible designs with the lowest cost. Three designers (including Michael) will work co-op on pointing out the key feature of products, calculate the possibility of their work, estimate...
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