hygiene and feeding
Question 7
I would notify the doctor that I am the nurse assigned to this patient, apologize for the delay and look for the lab results, if they are available, I would hand them if not I would call the laboratory and inquire on the results. Then I would analyze why the results were not ready and if this was a mistake of mine I would work on it as to not have it happen again.
Question 8
Accountability in delegation specifies that the person delegating is responsible for the outcome of the action associated with the delegation as long as the person who the task was delegated to performed it competently (Weiss et al., 2019). Delegating beyond the scope of the person can incur in legal repercussions for the person delegating. They can face disciplinary action stated by the board of nursing of their state once the information has been gathered and analyzed (MNA, 2020).
Question 9
The responsibilities of the RN include assessment, IV medications, blood administration, care planning, obtaining physician orders and teaching. The LPN can obtain vital signs, administer some IV medication depending on the state and provide physical care. The NAP/UAP can assist with personal care, hygiene and feeding (Weiss et al., 2019). Keeping these tasks in mind, Dennie and Elias can delegate safely those tasks that are within the scope of each person in the staff. The RNs can divide the workload evenly to perform assessments and provide IV medication, the LPN can obtain vital signs and administer oral medication and the UAP/NAP can assist with meals and hygiene activities. In this manner all patient’s needs are safely met by the appropriate staff member
10. Discuss the differences between direct delegation and indirect delegation.
Direct delegation refers to a verbal indication to perform a task in an indicated situation from an RN who chooses a staff member to delegate to based on ability to perform this task. Indirect delegation involves a list of approved tasks that may vary depending on the institution (Weiss et al., 2019)
Question 11
The RN must follow the rights of delegation to ascertain this is done safely and appropriately. The RN needs to consider whether the person being delegated on has the skills necessary to carry out the task and that the instructions and expectations are clearly stated and understood by both parties.
Question 12
It is necessary to assess the census in order to assign fairly and safely to the rest of the staff what needs to be done. It is important for example to be aware of which patients require total care to be able to assign the right personnel, so all the needs are met.
Question 13
a. I have had patients who were not able to feed themselves and in many occasions I could have delegated this task to a UAP however, because they were already attending to other patients and their needs I decided to complete the task as to not delay it and cause distress in the patient.
b. My preceptor had many years of experience in nursing which made her very capable of delegating and supervising others.
c. My preceptor when delegating tasks to other staff would supervise at intervals, ask if there was any difficulty in completing the task and evaluated the results after. She obtained feedback from the person she delegated to and she would use this as experience for the next time she had to delegate.
References
Accepting, Rejecting & Delegating a Work Assignment: A Guide for Nurses. (2020). Retrieved from https://www.massnurses.org/nursing-resources/nursing-practice/accept-reject/legal
Professional versus social relationships. (2018, October 31). Retrieved from
