Leadership Exam 1 (ATI Nursing Leadership
and Management Ch 1)
Delegation
the process of transferring the authority and responsibility to another team member to complete a
task, while retaining the accountability
Delegation Decisions are Based on:
-individual client needs
-facility policies
-job descriptions
-state nurse practice act
-professional standards
Can LPN's delegate to other LPN's or AP?
Yes
Five Rights of Delegation
-Right Task
-Right Circumstance
-Right Person
-Right Direction/Communication
-Right Supervision/Evaluation
Right Task
-repetitive
-requires little supervision
-relatively noninvasive for the client
Right Circumstance
-consider the team members workload
-match the complexity of care demands to the skill level of the heath care team member
Right Person
-assess and verify the competency of the health care member
-must be within the team members scope of practice and must have the necessary
competence/training
-continually review the performance and determine care competency
-assess performance based on standards and IF NECESSARY take steps to remediate a failure to meet
standards
Right Direction/Communication
Communicate either in writing or orally:
-data that needs to be collected
-method and time line for reporting (including when to report concerns/assessment findings)
-specific tasks to be performed
-client specific instructions
-expected results, time lines and expectations for follow up communication
, Right Supervision/Evaluation
-provide supervision either directly or indirectly (can assign supervision to another licensed nurse)
-provide clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate the client and if outcomes were met
-evaluate client care tasks and identify needs for improvement/additional resources
When does supervision occur?
AFTER delegation
A supervisor oversees a staff's performance of delegated activities and determines if:
-completion of tasks is on schedule
-performance was at satisfactory level
-abnormal/unexpected finding were documented/reported
-assistance is needed to complete assigned tasks in a timely manner
-assignment should be re-evaluated and possible changed
What things can be delegated LPNs?
-Monitoring client findings (ongoing assessment)
-Reinforcement of client teaching from a standard care plan
-Trach care
-Suctioning
-Checking NG tube patency
-Administering enteral feedings
-Inserting urinary catheter
-Med administration (excluding IV in some states)
What things can be delegated to AP?
ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding (w/out swallow precautions)
-positioning
-bed making
Specimen Collection
I&Os
VS on stable Clients
What things should you not delegate?
-nursing process
-client education
-tasks that require clinical judgement
Task Factors for Delegation
-Predictability of Outcome
and Management Ch 1)
Delegation
the process of transferring the authority and responsibility to another team member to complete a
task, while retaining the accountability
Delegation Decisions are Based on:
-individual client needs
-facility policies
-job descriptions
-state nurse practice act
-professional standards
Can LPN's delegate to other LPN's or AP?
Yes
Five Rights of Delegation
-Right Task
-Right Circumstance
-Right Person
-Right Direction/Communication
-Right Supervision/Evaluation
Right Task
-repetitive
-requires little supervision
-relatively noninvasive for the client
Right Circumstance
-consider the team members workload
-match the complexity of care demands to the skill level of the heath care team member
Right Person
-assess and verify the competency of the health care member
-must be within the team members scope of practice and must have the necessary
competence/training
-continually review the performance and determine care competency
-assess performance based on standards and IF NECESSARY take steps to remediate a failure to meet
standards
Right Direction/Communication
Communicate either in writing or orally:
-data that needs to be collected
-method and time line for reporting (including when to report concerns/assessment findings)
-specific tasks to be performed
-client specific instructions
-expected results, time lines and expectations for follow up communication
, Right Supervision/Evaluation
-provide supervision either directly or indirectly (can assign supervision to another licensed nurse)
-provide clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate the client and if outcomes were met
-evaluate client care tasks and identify needs for improvement/additional resources
When does supervision occur?
AFTER delegation
A supervisor oversees a staff's performance of delegated activities and determines if:
-completion of tasks is on schedule
-performance was at satisfactory level
-abnormal/unexpected finding were documented/reported
-assistance is needed to complete assigned tasks in a timely manner
-assignment should be re-evaluated and possible changed
What things can be delegated LPNs?
-Monitoring client findings (ongoing assessment)
-Reinforcement of client teaching from a standard care plan
-Trach care
-Suctioning
-Checking NG tube patency
-Administering enteral feedings
-Inserting urinary catheter
-Med administration (excluding IV in some states)
What things can be delegated to AP?
ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding (w/out swallow precautions)
-positioning
-bed making
Specimen Collection
I&Os
VS on stable Clients
What things should you not delegate?
-nursing process
-client education
-tasks that require clinical judgement
Task Factors for Delegation
-Predictability of Outcome
