Professional Documents
Culture Documents
Nursing Delegation & Practice Boundaries
Nursing Delegation & Practice Boundaries
&
Practice Boundaries
(continued)
increased technology, number & type of
technologists,
corporate downsizing to decrease cost,
client-to-home faster to decrease costs,
increased availability of information on www,
accelerated pace of changing health care
technology, &
increased # of physician specialists.
Definitions
Right Task
One that is delegable for a specific patient.
Right Circumstances
Appropriate patient setting, available resources, and other relevant
factors considered.
Right Person
Right person is delegating the right task to the right person to be
performed on the right person.
Right Direction/Communication
Clear, concise description of the task, including its objective, limits
and expectations.
Right Supervision
Appropriate monitoring, evaluation, intervention, as needed, and
feedback.
(continued)
RN
Assessment
Nursing
diagnosis
Planning &
implementing
LPN
UAP
Teaching from
standard care
plan
Activities of daily
living
Vital signs
Hygiene
Pass
medications
except those
specified
Specimen
collection, I&O,
vital signs
Barriers to Successful
Delegation
Underdelegation
Overdelegation
Choosing a person who lack skills,
education or ability to perform task
Delegation by default
Poor timing
Poor communication'" I can do this myself
attitude
(www.ncsbn.org/files/delegati.html)