Delegation RN Education Kelli Erb Agenda Why the
Delegation RN Education Kelli Erb
Agenda Why the change? Delegation basics? What is changing? When?
Why change is happening? Concerns about delegation and a decrease in teamwork shared at unit shared leadership Patients! Delegation/Teamwork committee started Erin, Yvonne, Kelly, Kelli, Pat, Olga, Megan
SBAR S: Effective delegation is an assumed RN job responsibility that is frequently misinterpreted and unsuccessfully implemented B: Application and utilization of delegation guidelines and principles is not consistent throughout the organization A: Inconsistent practice in delegation leads to potential gaps in care for patients and decreased overall staff satisfaction and teamwork R: Develop education and implement changes to current unit culture.
5 rights of Delegation Right Task- Is the task being delegated appropriately Right Person- Does the person have the skill or knowledge to perform task? Right Direction- has the person been given the 4 C’s Clear direction Concise description Complete information Correct limits and expectations (Spectrum delegation toolkit, 2013).
5 rights of Delegation (con’t) Right Feedback- Has the NT been provided the opportunity to participate in a mutual process of information? Right Supervision- Is the delegated task provided by ensuring that a follow up evaluation takes place? (Spectrum Health Delegation toolkit, 2013).
Deciding to Delegate: Potential for Harm Complexity of the task Amount of problem solving and innovation required Unpredictability of outcome Level of Patient interaction Speed of Performance (Spectrum Health Delegation toolkit, 2013).
RN Expectations Don’t assess your patients after BSR. Meet with NT RN completes 1 bath on assignment. Tell NT Make a plan with the Pt. Make plan with NT at am huddle for 2 person baths RN to take full set of vitals on q 4 pt for BP med. Trust NT if they say they can’t do something when RN calls.
RN Expectations During mid-shift huddle, follow up with NT- who still needs a bath or walks? Feedback from NTs, RNs need to help with call lights Please no lunches during shift change It is ok to call the US for waters or if you need supplies while in a patient room.
Bundling Care Try to bundle care as much as you can. Anticipate the patients needs
Fresh Water Vitals Pat ie Roo nt m 6 AM Meds IV bag Care not Bundled
Fresh Water Discuss plan with team 6 AM Meds Patient Room IV bag Vitals Bundled Care
New Changes Huddle with team (2 RNs and NT) three times during the shift. Page will come out on phones to help remind us. 0745, 0945, 1700, 1945, 0100, and 0430 Communicating Hourly Rounds Make plan for return visit Remember 5 T’s? Power Hour? . . . What’s Power Hour?
POWER HOUR!!! Meet with team at 1330 days and 0430 nights. Dayshift will also have a mini power hour before shift change at 1730. Go into each patients room together with checklist Lead RN logs into computer and team does vitals, I &O, meds, waters, linens, trashes, etc… Team lunches need to be done by 1330
Power Hour Before Power Hour, RNs will highlight on power hour sheet what tasks need to be completed. If a patient calls out, 1 member of the team will go answer and team will meet there next
When Does this Start? Go-Live Treats October 7 th@ 0700!!! provided! 20 th-27 th-Team call light competition everyday every shift! Details to come… Delegation team will be rounding making sure we are doing the right thing and giving candy for compliance
Questions/Concerns?
- Slides: 18