Nursing Delegation: Principles & Tasks for Assistants, Study notes of Family and Consumer Science

This document offers a comprehensive guide to nursing delegation, outlining principles, guidelines, and specific tasks delegable to different nursing personnel such as assistive personnel, licensed practical nurses (lpns), and patient service workers (psws). it emphasizes maintaining client safety and matching tasks to the delegate's capabilities. The guide also details tasks that should not be delegated to lpns or psws, ensuring clarity and accountability in nursing practice. it is a valuable resource for nursing students and professionals seeking to understand the complexities and responsibilities of delegation in healthcare settings.

Typology: Study notes

2024/2025

Available from 05/03/2025

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Delegation &
Delegation
- process of transferring performance of a selected nursing task in a
situation to an individual who is competent and has the authority to perform
that specific task
- the nurse who delegates maintains ultimate accountability for the task
- nurse cannot delegate any activity that involves nursing judgement or
critical decision making
Principles & Guidelines in Delegation
- delegate the right task to the right delegate
- provide clear directions
- determine the degree of supervision
- provide a deadline for completion of the task
- evaluate the outcome
- provide feedback
Assistive Personnel
- noninvasive interventions, such as skin care, ROM exercises, ambulation,
grooming and hygiene measures
- stable client’s, basic care not needing assessment & routine tasks
Licensed Practical Nurse (LPN) or Vocational Nurse (VN)
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Delegation

  • process of transferring performance of a selected nursing task in a situation to an individual who is competent and has the authority to perform that specific task
  • the nurse who delegates maintains ultimate accountability for the task
  • nurse cannot delegate any activity that involves nursing judgement or critical decision making

Principles & Guidelines in Delegation

  • delegate the right task to the right delegate
  • provide clear directions
  • determine the degree of supervision
  • provide a deadline for completion of the task
  • evaluate the outcome
  • provide feedback

Assistive Personnel

  • noninvasive interventions, such as skin care, ROM exercises, ambulation, grooming and hygiene measures
  • stable client’s, basic care not needing assessment & routine tasks

Licensed Practical Nurse (LPN) or Vocational Nurse (VN)

  • can perform the task of an AP and certain invasive task such as dressing changes, suctioning, urinary catheterization, and medication administration ( oral, subcutaneous, IM and selected piggy back medications), according to the education and job description of the LPN or VN
  • stable clients

Assignments

  • transfer of performance of client care activities to specific staff members

Guidelines for Client Care Assignments

  • Always ensure client safety
  • Be aware of individual variations in work abilities
  • Determine which tasks can be delegated and to whom
  • Match the task to the delegate
  • Provide clear directions _ Validate understanding
  • Communicate feeling of confidence
  • Maintain continuity of care

Do Not Delegate to an LPN

  • Starting an IV

May delegate to Aids

  • ADLs but never the first NOTE: In extended Health Care Facility: LPNs can do many of the things they cannot do in a hospital because the clientele is considered stable

Do not delegate to the family safety responsibilities

  • Do not remove safety equipment (restraints, siderails) even if family member offers to watch the patient.

Sitter

  • to be designated as a sitter, you have to teach them and document that you have taught them. They can only do what they were taught.