The art of delegation version 1a
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- 1. Tips to successfully share the work load in a busy work environment BMB 2010
- Do you remember the story?
- In the story Mrs. Rogers leaves Amelia a list of chores to complete. Two tasks on the list are:
- Bake a sponge cake and change the towels.
- 3. Sponge + eggs + flour + sugar = sponge cake!!
- 4. Towels + scissors = changed towels!!!!
- Know the rules of your state board of nursing.
- Remember the five rights of delegation:
- Right person
- Right task
- Right circumstances
- Right direction
- Right supervision
- (Austin, 2008)
- New York is unique in placing its system of professional governance under the Board of Regents, a citizen body.
- Boards of professionals and public members advise the Regents and the Education Department on all aspects of professional education, licensing, practice, and discipline.
- Health care today uses a customer service approach. The use of unlicensed assistive personnel is essential to maintaining patient satisfaction (Plawecki, 2010).
- The DELEGATOR: must be a licensed professional. Must understand the qualifications and competencies of staff.
- The DELEGATEE: must be able to perform requested tasks.
- The DELEGATOR:
- Directs the work of others. Has the ultimate responsibility for the task and the way that it is completed.
- Is the steward of healthcare resources.
- Plans nursing care and uses nursing judgment to assign tasks to others. Must be sure tasks are within the scope of practice of delegatee.
- Is accountable for all tasks assigned to others. Must make sure the task was completed correctly.
- Right task includes responsibility for a two-way process that is both allocated and accepted.
- Assistive personnel accept responsibility for the task when they agree to perform an activity delegated to them (Plawecki, 2010).
- Tasks are generally standardized, minimal risk procedures with predictable results (Austin, 2008).
- Example: Skin assessment is part of Registered nurse responsibility. Delegating the assistive personnel to check their bottom is inappropriate task delegation. Patient outcomes and hospital reimbursement depend upon accurate, complete nursing assessment of all systems. Delegating any portion of assessment is irresponsible.
- A nursing assistant may set up the oxygen tank and tubing but they may not turn on the oxygen or adjust the setting.
- An LPN may insert a peripheral IV and apply the dressing but they may not change the dressing on a central line.
- Consider circumstances even when task fits assistive personnel abilities.
- Example: Assistive personnel are usually delegated the task of ambulating patients. Ambulation of a post-op hip replacement patient with history of hypotension and anemia should not be delegated to unlicensed personnel.
- Provide a clear, concise description of task being delegated, including expectations and limitations.
- Grow the expertise of co-workers and teach them how to perform tasks they have never performed before.
- Know the qualifications and competencies of your staff.
- Know the results of delegated tasks.
- Know when to intervene and provide feedback for improvement.
- Improves outcomes
- Improves trusts
- Allows for appropriate distribution of work.
- Improves communication.
- Provides real-time training.
- Saves money to be re-invested in personnel and equipment.
- Improves productivity.
- Austin, S. (2008). 7 Legal tips for safe nursing practice. Nursing2008 . Vol. 38/3.
- Hudson, T. (2008). Delegation: Building a foundation for our future nurse leaders. MEDSURG Nursing Vol 17/6. Retrieved from Beck Library Online at CRMC.
- Nursing Guide to Practice. New York State Office of the Professions. Retrieved from http://www.op.nysed.gov/
- Parrish, P. (1963). Amelia Bedelia . Harper Collins.
- Plaut, D. (2008). Delegation: An important management tool, for you!. American Medical Technologists Events . Pp140-141. Retrieved from Beck Library Online at CRMC.
- Plawecki, L. (2010). A question of delegation: unlicensed assistive personnel and the professional nurse. Journal of Gerontological Nursing Vol 36/8. Retrieved from Beck Library Online at CRMC.
- Weydt, A. (2010). Developing delegation skills. Online Journal of Issues in Nursing 15/2. Retrieved from http://web.ebscohost.com/ehost/delivery?vid=19&hid=113&sid=5976f3ba-408f-413b-80