...Delegation Example in a Health Care Setting Presentation * The delegation model or process * The delegation issue in your work place * The stakeholders in their different health care roles * How you choose the right stakeholder for the job At the completion of this presentation the learner will know the delegation model process, be capable of identify issues in the workplace, how to choose the appropriate stakeholder to complete the job, and the stake holders in their different health care roles. By using a possible occurrence that can happen in the work place as an example we will walk through the delegation process. * How you communicate with the stakeholders * How you resolve conflict * How you know when to give feedback * How you evaluate the problem solved * Relevant recommendations With communication being the most important aspect of delegation, we will discuss how to communicate with the stakeholders, resolving conflict, different ways to know when to give feedback, different evaluation methods to problem solve and relevant recommendations. * Know Your World * Know Yourself * Know What Needs To Be Done * Know Your Delegate * Communicate * Resolve Conflict * Feedback/Evaluate First, we will need to know what the definition of delegation is. According to Hansten and Jackson (2009), the National Council of State Boards of Nursing states that delegation is the “transferring to a competent individual...
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...Delegation Exercise in a Health Care Setting Ana Bergeron University of Phoenix Assignment After rounding on patients the RN made the following assignments. See appendix for a full description of each patient: Assignments | | Macy LPN #1 | Pod 1 | | Mr. Black (UTI) | | Ms. Johnson (Crohn’s) | | Mr. Raynor (diabetic foot ulcer) | | Mrs. Tolento (CHF) Mr. Smith (pneumonia) | | Ms. Swanson (S/P hysterectomy day 2, in pod 2) | Ana RN | Pod 2 | | Mr. Smith (GI Bleed) | | Mr. Moretz (Night sweats, neg pressure room) | | Mrs. Flanco (S/P Colectomy day 2)Mr. Reddington (GSW) | Mike LPN #2 | Pod 3 | | Mr. Smith (Atrial Fib) | | Ms. Harper (s/p breast mastectomy) | | Ms. Levin (s/p attempted suicide) | | Mrs. Walnut (aspiration pneumonia)Mrs. Stewart (Diabetic Ketoacidosis) | | | Gilda CNA | Pods 1-3 | | | Explanation The following is a detailed explanation of the assignments made for this shift: Macy LPN: Macy was given her patients based of her skill and scope. She always volunteers to take on the Spanish speaking patients since she is more comfortable speaking in Spanish. The RN, after moving patients to different pods, she gave Macy one possible discharge today and what would be consider by some a difficult patient that can be abusive and refuses to be take care of be the other LPN on shift today. Macy also had to take on a total of 6 patients instead of six, the RN will cosign her notes at of shift. The patients...
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...Analysis of Newspaper research Report Savitri Basant HCS/ 438 June 18th 2012 Dr. R. Medeiros Analysis of Newspaper research Report On May 1, 2009, Reuters Health specified that combined treatment with chemotherapy drugs topotecan and docetaxel is effective in treating women who had a reoccurrence of uterine or ovarian cancer after having been treated with other drug combinations.. What Statistical procedures are mentioned in the study? The study that was done involved 15 women with recurring ovarian cancer, 9 with recurring uterine cancer, and 3 with peritoneal mesothelioma which is cancer of the tissue, lining the inside of the abdomen. The findings revealed that out of 24 women only six had complete response to treatment. This study was done to examine the statistical procedures, describes the finding and conclusions and based on the analysis mentioned in the report, the study concludes whether they were appropriate or not. What conclusions did the study reached? Are the conclusions appropriate? Why or why not? The research was comprehensive since it involved a total of 86 treatment cycles. And out of 27 participants selected from inclusion in the sample results were established for 24 individuals which was a reasonable success rate. The cooperation from the participants ensured the success of the experiment. Of the 24 patients a mere 6 of the participants had a satisfactory response to treatment while another three had no worsening of their cancer. Six out...
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...------------------------------------------------- Does delegation help or hurt nursing? A Research Paper April 11, 2013 Fiona Molloy Dr. McDonnell HAS 420 April 11, 2013 Fiona Molloy Dr. McDonnell HAS 420 Fiona Molloy Dr. McDonnell/Bill Miller HSA 420 Does Delegation Help or Hurt Nursing? Chapter One: The History of Nursing. The first nursing school was established in India in about 250 B.C., and only men were permitted to attend because men were viewed to be more pure than women. If you think of a woman dressed in scrubs with a stethoscope around her neck and a clipboard in her hands, you aren’t alone. An overwhelming majority of nurses in the United States today are women. However, nursing began as a practice reserved for men. It wasn’t until the 1800's that nursing became an organized practice. During the Crimean War, Florence Nightingale and 38 volunteer nurses were sent to the main British camp in Turkey. Nightingale and her staff immediately began to clean the hospital and equipment and reorganized patient care. Nightingale pushed for reform of hospital sanitation methods and invented methods of graphing statistical data. When she returned to Britain, Nightingale aided in the establishment of the Royal Commission on the Health of the Army. As a woman, Nightingale could not be appointed to the Royal Commission, but she composed the Commission’s report. (Travel Nurses of America, 2010) Completed, the report was over 1,000 pages in length and included detailed...
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...Continuing Education Effective Delegation: Understanding Responsibility, Authority, and Accountability Christine Mueller, PhD, RN, FAAN, and Amy Vogelsmeier, PhD, RN The obligation to provide safe, quality care creates challenges and concerns when registered nurses (RNs) delegate duties to unlicensed assistive personnel. These challenges and concerns are magnified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; health care settings with high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation...
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...Personal and Professional Health Care Communication Priscilla Hickman HCS/350 August 11, 2014 Michael Veal Personal and Professional Health Care Communication Health Care Communication is vital to the well being of patients in the health care setting. Clear and concise communication is key in the outcome of patient care. “Health communication is a multidimensional process and includes aspects from both the sender and the receiver of the message” (Arnold & Boggs, 2011, p. 103). This paper will discuss the importance of effective personal health care communication with other health care professionals, clients, and patients, effects of communication to health outcomes, lack of effective personal and professional health care communications contributing to poor health outcomes, and theories and principles of therapeutic communication in health care settings for health care professional. Communication between health care professionals is a team effort. Each team member communication with each must be clear and concise. Communication between health care professionals can affect the safety of the patient. Communication is passed through many different people in a patients stay. Communication is handed off between nurses shift to shift, transfer in departments, nurses to physicians, and nurses to nursing assistants. Miscommunication can lead to medical errors. Medical errors include unclear medical orders, patient status, or critical lab values. In order to...
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...Application of Benner’s theory to problem of delegation Introduction A frequent problem at work is that registered nurse's (RNs) are often reluctant to delegate tasks to unlicensed assistive personnel (UAP). Many patients at the hospital suffer from strokes, spinal injuries, brain tumors, dementia/Alzhiemer’s disease, or other devastating illnesses/injuries. Also, large hospitals and hospitals in urban areas tend to have numerous patients at the hospitals at any given time. Every day hospital units are quite busy and nurses are required to turn, feed, constantly observe for patient safety, bathe, and assist with elimination. RNs need to delegate the tasks or responsibilities to unlicensed assistive personnel (UAP) or other healthcare professionals....
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...Delegation in the health care setting is very important for the nurses, unlicensed assistive personnel, and for the patients. The delegation of indirect and direct patient care allows the Registered Nurse to spend more time toward patient care, education, and patient advocacy. This delegation of patient care helps to improve patient outcomes and increases satisfaction for the patient and the nurse (Snyder, Medina, Bell, & Wavra 2004). “Nurse delegation is considered a “professional right and responsibility” requiring a “skill that must be taught and practiced for nurses to be proficient in using it.” Nurses need both the authority and practice experience to implement delegation” (Reinhard p. 76). Effective delegation can allow the registered nurses to make their best contribution to patients and to the health care system (Snyder et al, 2004). This delegation presentation will show the delegation model, delegation in the workplace, the stakeholders and their roles. Also it will include a plan of action that incorporates communication, conflict resolution, providing feedback, and evaluation of the problems and tasks performed. The delegation model is composed of four cycles. These are assessment, planning, intervening, and evaluation. To start with is the assessment phase of the model, which implies that registered nurses, must assesses the situation, select the right delegate to perform the task, and ensure the delegate is competent for the task they are delegated...
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...Health Care Environmental Checklist Student Name University Health Care Environmental Checklist After reading and preforming the health care environmental checklist I selected supervision of non-licensed personnel is by professional nurses, staffing requirements are based on acuity levels and optimum staffing models, and nursing leadership and management as areas I would address as a nurse manager. As a registered nurse you are responsible for the supervision of unlicensed direct care staff in the performance of nursing tasks and activities. It is the responsibility of the nurse manager and the company to ensure that all staff is adequately trained regarding the elements of supervision and delegation of duties. As a nurse manager address the following will help improve quality of care for patients. The initial training of the task or activity, and periodic inspection of the actual act of accomplishing the task or activity are important for proper patient care. The amount and type of nursing supervision required will be determined by the registered nurse responsible for supervising the task or activity, and will depend upon the complexity of the task, the skill, experience and training of the staff, and the health conditions and health status of the patient (Potter & Kuhrik, 2010). The purpose of delegation is to gain work efficiency, which can only be achieved when registered nurses and patient care technicians work together in partnership to manage the changing...
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...DECISION TREE Nurse Delegation to Nursing Assistive Personnel (NAP) Step One – Assessment and Planning Are there laws and rules/regulations in place that support the delegation? [NMAC 16.12.2] Yes Is the task within the scope of practice of the delegating nurse? [NMAC 16.12.2] Yes Has there been assessment of the client’s needs? Yes No Do not delegate. No If not in the licensed nurse’s scope of practice, he/she should not delegate to NAP. Authority to delegate varies from state-to-state; licensed nurses should check the local jurisdiction’s statutes and administrative rules/regulations. No Assess client’s needs; then proceed to a consideration of delegation. Does the delegating nurse have competencies to make the delegation decisions required? Yes No Do not delegate until evidence of competency is obtained and is documented; then reconsider delegation. Does the procedure/task meet all the following recommended criteria for delegating to NAP? • • • • • • • Task/procedure is within the range of approved functions for the NAP. Task/procedure frequently recurs in daily care of client or group of clients. Task/procedure is performed according to an established sequence of steps. Task/procedure involves little or no modification from one client-care situation to another. Task/procedure may be performed with a predictable outcome. Task/procedure does not inherently involve ongoing assessment, interpretation, or decision-making which cannot be logically separated from...
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...1Care Delivery: Delegation Introduction The topic I have chosen to discuss in this essay is delegation, as from my experience this is one of the most complex nursing skills to develop, this claim is supported by literature (Weydt: 2010) Delegation is a suitable topic to discuss as it is a necessity for any nurse to be able to delegate effectively, especially in recent times in which nurses are stretched to their limits due to an increase in patient numbers and current government NHS cuts. The NHS is supposed to be protected from the public sector cuts, but new research shows that more than 50,000 jobs are disappearing from the NHS (Ramesh: 2011) Delegation has particular relevance to me as a third year student because knowing when, how and to whom you can delegate requires a complex understanding of the task in hand, the process of delegation, and the skills and existing workloads of the people available. It is especially important to achieve the right balance as a third year student, as delegating too much may result in a loss of control, while failing to delegate or not delegating enough can lead to duties not being completed. I will begin by discussing areas of delegation such as responsibility, accountability and authority. I will then move on to discuss aspects and principles of best practice. I will then continue to focus on managerial and organisational aspects relating to delegation, I will discuss these aspects using examples from practice. Delegation may be difficult...
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...I believe all healthcare professionals should be licensed in their own discipline, assuring that they have met educational requirements, received a minimal number of hours of training, and passed the exams. Licensing is a mandatory credentialing process established by a state government board and requires us to meet the set standards. State boards write healthcare credentialing and scope of practice laws to protect the public (Allen, 2013). These laws sets the legal boundaries that each profession is authorized to perform. Today, to alleviate the stress resulting from the presence of sicker patients, fewer RNs and numerous cost and budgetary restrictions, healthcare organizations are utilizing the services of unlicensed assistive personnel...
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...objective of this paper is to present information on health care communication and how the relevancy of effective personal and professional health care communication can affect other healthcare professionals, clients, and patients. Additionally, this paper will provide information on how the relevancy of effective professional health care communication is to health outcomes and how the lack of effective personal and professional communication contributes to poor health outcomes. Last, theories, and principles of therapeutic communication in the health care setting also will be clarified. Among many definitions, health care communication can be labeled as a method, which permits the health care provider and patient to articulate and provide data, opinions, and thoughts in an effort to build a mutual perceptive about a particular health concern. Moreover, in the health care setting, another definition of health communication consists of vital strategies to enlighten the public about health apprehensions and to maintain significant health issues on the public plan. The way one communicates affects everything in health care. Whether speaking to patients and family members, discussing in a group meetings, and so forth, communication is how one learns information, teaches information, and expresses his or her concerns. Besides, several essentials have to combine collectively to guarantee that the communication process is effective. Health care communication is narrower in range than human...
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...Professional Healthcare Communication HCS/350 January 9, 2012 Personal and Professional Healthcare Communication Personal and professional health care communication is critical in a professional working environment rapidly changing. Communication collaboratively is more effective than individually. Relevancy of effective personal and professional healthcare communication with others benefit and contributes to a better health outcomes. The lack of personal and professional healthcare communication contributes to poor outcomes. Theories and principles of therapeutic communication greatly benefit the healthcare setting, patients, and the healthcare professionals. Define Healthcare Communication Healthcare communication is defined as a process that facilitates interdependence among members of a healthcare group or unit. Communication has multiple meaning and comes in many ways, and this process enhances the shared ideas within the healthcare setting. Healthcare communication is important, it is narrow in scope, and it concerns the individuals with healthcare related information. Healthcare interaction between individuals that communicate can be verbal, nonverbal, oral, or written. Communication can be personal or impersonal issues dealing within healthcare settings. “In health communication, the focus is on specific health-related transactions and factors that influence these transactions” (Northouse & Northouse, 1998, p. 3). Healthcare communication is not only just...
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...Removing all patients within the next two rooms, Along with evacuation of the entire floor. The nurse manager automatically ran for the fire extinguisher to demolish the fire. Unlike a regular routine of moving patients, any man power available was used. A specific person with medical expertise was assign to care for the patients, continuing medical treatment with normalcy. When there is a crisis in a healthcare setting the normal plan of care changes. Order of operation is put on hold temporarily Crisis Management plan In times of crisis a person or an organization has to think critically about the tasks for completion, making quick or planned decision into action so that the most effective solution and safety is accomplished. In a health care organization there are policies and procedures on plan of care during crisis in a mass trauma, a disaster, or a fire. Crisis communication dynamics differ from the normal routine with the emphasis on possessing; the ability to receive and communicate information swiftly, delegation is needed to avoid chaos and unwanted circumstances. Crisis management is set in place to ensure the best care and medication is received to provide the best possible outcome. According to the article Managing Crisis by Risdall Public Relations most crisis situations...
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