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Delegation Assignment

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Delegation Assignment
NUR 470 Delegation Assignment

Name: Betsy Emmons Date: October 30, 2011

Differentiate between delegation, accountability, authority, and responsibility. Give clinical example of each.

Effective delegation is one of the most challenging and difficult RN responsibilities. American Nurses Association (ANA) and National Council of State Board of Nursing (NCSBN) share the definition of delegation as; “the process for a nurse to direct another person to perform nursing tasks and activities.” For instance, a registered nurse can delegate tasks to an unlicensed staff member such as; transfer a patient from bed to chair and measure intake and output. The RN can assign an LPN to a patient with colostomy that needs irrigation.
Delegation
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The RN can delegate tasks such as reminding the patient to do something such as precaution measures or skills previously taught by other health care staff. The CNA is able to receive delegations such as detaching suctioning equipment, removing a Foley catheter, gather equipment, but they are not able to connect or insert a catheter.

Identify and give an example of two of the five rights to consider in the process of delegation.

The five rights of delegation allow the licensed nurse to delegate tasks to other nurses or to UAP’s as long as criteria is met and the patient’s safety and well-being is not at risk. The five rights are; right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. The Nurse Practice Act allows for RN’s to delegate tasks to LPN’S, CAN’s, and UAP’s as long as certain criteria is met and the RN understands they remain responsible for the task and the
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My clinical instructor provided right supervision for me while I administered medication to my patient. My instructor was in the room when I was administering the medication and assessing the patient. The patient was very cooperative and gave permission for me, a student nurse, to provide clinical nursing care at the beginning of the shift, and again while I was performing the assessment and preparing to administer the an IM injection. I discussed with the patient that I have administered this medication before and described in a clear concise manner of what the process entails. In accordance to the five rights of delegation (right task, right circumstances, right person, right direction/communication, right supervision) the delegated care was appropriate. After five minutes the patient’s blood pressure dropped from 155/100 to 130/90 and she rated her pain 5out of 10, on a scale from 1-10... Within the next five minutes her blood pressure dropped down to 121/80 and rating her pain 3out of 10. The last five minutes her blood pressure was 90/66 and she claimed mild discomfort, no

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