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“Five Rights” of Delegation |
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task, circumstances, person, communication/direction, supervision/evaluation |
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UAP? Helping a stable pt walk |
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UAP? Collect intake and output data on 10 patients |
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UAP? Teach a patient to give herself insulin |
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UAP? Make rounds with physician on 5 patients |
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UAP? Evaluating patient response to pain medication |
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UAP? Perform complete bed baths on 3 patients |
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UAP? Transport one stable patient to radiology |
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UAP? Take physician telephone order |
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Assessed, stable, routine, low skill, predictable outcome |
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Assess pt before delegating a task |
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I expect that... You are resp for... Questions? Report back to me at... |
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Process by which responsibility and authority for performing a task (function, activity, or decision) is transferred to another individual who accepts that authority and responsibility |
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duties: refers to reliability; dependability; obligation to accomplish work. Also refers to each person’s obligation to perform at an acceptable level. |
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results: must be able to explain actions and results; accepting ownership for results. Legally, RN is accountable for nursing care. |
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the right to act defined by state practice acts, job descriptions and institutional policies. |
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Assigning tasks, Granting authority, Supervising, Determining results |
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Initial assessment NDs Planning/goal setting Teaching Evaluation Nursing judgments/advanced nursing knowledge |
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Core activities beyond the capacity Tasks outside the Nurse Practice Act |
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Inappropriate work assignments and inadequate supervision is a breach of duty and could provide grounds for a registered nurse’s negligence |
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Never delegated Unsupervised Initial direction/periodic inspection Continuous supervision |
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