Chapter 4 Delegation Copyright 2017 Elsevier Inc All

Delegation To delegate means to authorize another person to perform a nursing task in

Delegation (Cont. ) Who can delegate Ø RNs can delegate nursing tasks to LPNs/LVNs

Delegation (Cont. ) The National Council of State Boards of Nursing (NCSBN) describes four

Delegation (Cont. ) The NCSBN’s Five Rights of Delegation is another way to view

Delegation (Cont. ) Your role in delegation You must protect the person from harm.

Delegation (Cont. ) Ø Refusing a task • The task is beyond the legal

Delegation (Cont. ) Ø Never ignore an order or a request to do something.

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Delegation To delegate means to authorize another person to perform a nursing task in a certain situation. Ø The person must be competent to perform a task in a given situation. Copyright © 2017, Elsevier, Inc. All rights reserved. 2

Delegation (Cont. ) Who can delegate Ø RNs can delegate nursing tasks to LPNs/LVNs and nursing assistants. • In some states, LPNs/LVNs can delegate tasks to nursing assistants. • Delegation must protect health and safety. Ø Nursing assistants cannot delegate. Copyright © 2017, Elsevier, Inc. All rights reserved. 3

Delegation (Cont. ) The National Council of State Boards of Nursing (NCSBN) describes four steps in the delegation process. Step 1—Assessment and planning are done by the nurse. Ø Step 2—Communication involves the nurse and you. Ø Step 3—Surveillance and supervision; the nurse observes the care you give. Ø Step 4—Evaluation and feedback are done by the nurse. Ø Copyright © 2017, Elsevier, Inc. All rights reserved. 4

Delegation (Cont. ) The NCSBN’s Five Rights of Delegation is another way to view the delegation process. The right task Ø The right circumstances Ø The right person Ø The right directions and communication Ø The right supervision Ø Copyright © 2017, Elsevier, Inc. All rights reserved. 5

Delegation (Cont. ) Your role in delegation You must protect the person from harm. Ø You either agree or refuse to do a delegated task. Ø Accepting a task • When you agree to perform a task, you are responsible Ø for your own actions. • You must complete the task safely. • Report to the nurse what you did and the observations you made. Copyright © 2017, Elsevier, Inc. All rights reserved. 6

Delegation (Cont. ) Ø Refusing a task • The task is beyond the legal limits of your role. • The task is not in your job description. • You were not prepared to perform the task. • The task could harm the person. • The person’s condition has changed. • You do not know how to use the supplies or equipment. • Directions are not ethical or legal. • Directions are against agency policies. • Directions are unclear or incomplete. • A nurse is not available for supervision. Copyright © 2017, Elsevier, Inc. All rights reserved. 7

Delegation (Cont. ) Ø Never ignore an order or a request to do something. • Tell the nurse about your concerns. • You must have sound reasons for refusing a task. Copyright © 2017, Elsevier, Inc. All rights reserved. 8