Preview

Delegation: Nursing and Independent Living Environments

Good Essays
Open Document
Open Document
1771 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Delegation: Nursing and Independent Living Environments
Delegation--Authorizing an unlicensed person to provide nursing services while retaining accountability for how the unlicensed person performs the task. It does not include situations in which an unlicensed person is directly assisting a RN by carrying out nursing tasks in the presence of a RN.
Unlicensed person--An individual, not licensed as a health care provider
Verifies that the unlicensed person can properly and adequately perform the delegated task without jeopardizing the client's welfare; and
The following standards must be met before the RN delegates nursing tasks to unlicensed persons. These criteria apply to all instances of RN delegation. Additional criteria, if appropriate to the particular task being delegated, may also be found in §224.8(b)(1) of this title (relating to Discretionary Delegation Tasks). (1) The RN must make an assessment of the client's nursing care needs. The RN should, when the client's status allows, consult with the client, and when appropriate the client's family and/or significant other(s), to identify the client's nursing needs prior to delegating nursing tasks. (2) The nursing task must be one that a reasonable and prudent RN would find is within the scope of sound nursing judgment to delegate. The RN should consider the five rights of delegation: the right task, the right person to whom the delegation is made, the right circumstances, the right direction and communication by the RN, and the right supervision as determined by the RN. (3) The nursing task must be one that, in the opinion of the delegating RN, can be properly and safely performed by the unlicensed person involved without jeopardizing the client's welfare. (4) The nursing task must not require the unlicensed person to exercise professional nursing judgment; however, the unlicensed person may take any action that a reasonable, prudent non-health care professional would take in an emergency situation. (5) The unlicensed person to whom the

You May Also Find These Documents Helpful

  • Good Essays

    Nursing students have a scope of practice specified in the Nurse Practice Act (NPA) of the State of Nevada. We are required to provide treatment to our patient based these scope practice. Practicing any activity out of our scope is a violation of law. Some of our scope of practice includes “nursing student … shall identify himself or herself by his or her appropriate title,” “a nursing student may, as an apprentice nurse, perform those tasks which the nursing student has successfully demonstrated in his or her program of education,” “there is a formal procedure for the nursing student to refuse to perform any task until he or she is comfortable with his or her ability to do so safely,” and others. I complied with NPA’s scope of practice…

    • 393 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    RN’s are greatly needed solely for the reason is that they provide the greatest level of care for many patients. An RN not only provides all types of care, but they also gives advice and helps coordinate other health services for their patients. An RN may be in charge of other nursing personnel such as interns, volunteers and techs. They may be also responsible for a patient’s overall case management, working together in conjunction with everyone from the patient to the primary care physician, as well as other…

    • 931 Words
    • 4 Pages
    Powerful Essays
  • Powerful Essays

    TBON Peer Review

    • 1460 Words
    • 6 Pages

    The Texas Board of Nursing Rules and Regulations (TBON), the Texas Nurse Practice Act (NPA) and the Texas Occupations Code (TOC) guide nursing practice by defining nursing actions and mandating that nurses perform their jobs appropriately. The TBON utilizes the NPA and TOC to review cases with which there are questions regarding the scope of practice and delegation of duties. Of the two cases to be reviewed the first involves a nursing task, administration of blood products and Foley catheter insertion that was delegated incorrectly. The improper delegation of duties by a MD to a paramedic and the RN’s responsibility will be evaluated according to the Texas Nurse Practice Act, the Texas Board of Nursing Rules and Regulations and standards for blood transfusion. The second case will explore the peer review process by evaluating a case involving a RN working in a clinic.…

    • 1460 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Med Surg

    • 2829 Words
    • 12 Pages

    | |role of nurse: The RN functions legally under state nurse practice acts, performs |…

    • 2829 Words
    • 12 Pages
    Good Essays
  • Good Essays

    It is the RN responsibility to delegate nursing tasks to other team members like the LPN/LVN and the nursing assistant. These task should follow the legal parameters established by professional nursing organizations in the scope of practice and standard and defined by the state of its nurse practice in addition to the institution policy (Cherry & Jacob, 2014).…

    • 434 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    The nursing shortage and lack of staffing ratios have created long standing ethical dilemmas as they relate to patient care. Nurses are accountable and responsible for their own morals, decisions and behaviors. Nurses are accountable for judgments made and actions taken in the course of nursing practice, irrespective of healthcare organizations policies or providers' directives which may not always be in the best interest of the patient.…

    • 354 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Ana Ethics Code

    • 606 Words
    • 3 Pages

    As a labor and delivery nurse, the most relevant provision in my practice is provision 4. Provision 4 of the Code of Ethics for Nurses states that “the nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse 's obligation to provide optimum patient care” (American Nurses Association, 2001).…

    • 606 Words
    • 3 Pages
    Good Essays
  • Good Essays

    of other health care peers for which she delegate task. ADN nurses assess, implement and plan…

    • 711 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Adult Health Exam 1

    • 2269 Words
    • 10 Pages

    The nurse is always accountable for the task or activity that is delegated. The nurse should use the 5 rights…

    • 2269 Words
    • 10 Pages
    Satisfactory Essays
  • Good Essays

    Nurses are uniquely skilled and positioned to lead this initiative. Assessing needs; providing care; managing/directing care; communicating with interdisciplinary care teams; and educating patients, caregivers and other healthcare providers are competencies required to deliver Transitional Care in an effective and efficient manner. Additionally the nursing profession is adept at monitoring and analyzing outcomes of care.…

    • 331 Words
    • 2 Pages
    Good Essays
  • Good Essays

    The procedure of the career of nursing as a registered nurse is described as detecting and treating individual reactions to real or possible health troubles through such services as health instruction, health guidance, and stipulation of care helpful to or healing of life and welfare, and performing medical treatment ordered by a licensed doctor, or another health care provider lawfully authorized under this title and in accordance with the commissioner 's regulations.…

    • 964 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Art of Delegation

    • 668 Words
    • 3 Pages

    The right circumstance indicates that one must assess the situation prior to delegation. Having a non-licensed personnel complete vital signs may or may not be appropriate based on the other circumstances surrounding that patient. Prior to delegating a task, the National Council of State Boards of Nursing has determined that the nurse must first assess health/condition status, ensure the complexity matches competency and available supervision before delegating task.…

    • 668 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Professional Nurse Role

    • 678 Words
    • 3 Pages

    The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.…

    • 678 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Long Term Care Ethics

    • 1793 Words
    • 8 Pages

    There are four elements of ethical issues regarding patient care such as, attentiveness, responsibility, competence and responsiveness. Attentiveness involves nurses being able to recognize the needs of the patient and their families. The development of a close relation between nursing staff and patient through receptibility helps the nurses to be receptive to what the patients need. A nurse has the responsibility to care for their patients and be a support system for their patient. A nurse must exhibit competence while caring for their patients. Nurses must be able to provide individual care. They are obligated to provide care of a patient based on their physical needs, psychological, cultural and religious needs of the patients and their families. Nurses have a duty to ensure that the patients’ needs are being met. If the patient is responding to the nurse in a positive to the treatment that is received. The American Nurse Associations’ provision 3 states that a nurse advocates for the patient, promotes and protects the rights, their health and safety for the patient. Nurses are held accountable and responsible for making good decisions to provide the best care for the patient (American Nurse Association, 2015). Facilities that…

    • 1793 Words
    • 8 Pages
    Better Essays

Related Topics