The Roles And Responsibilities Of A Nurse

1601 words - 6 pages

The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.
There are many themes that present in literature about delegation. American Nurses Association(ANA) defines delegation as the transfer of responsibility for the performance of a task from one person to another. The National Council of State Boards of Nursing(NCBSN) defines delegation as transferring to a competent individual the authority to perform a selected nursing task in a selected situation. I think delegation is a skill that needs to get proficient. Kleinman and Saccomano(2006) state that the nurse must be taught delegation skills, both in academic and clinical settings. The use of unlicensed assisted personnel(UAP) or licensed practical nurse(LPN) is essential in todays health care because of the increased acquity of patients and increased custom-service approach.
According to Plawecki and Amrhein (2010) , delegation is viewed as competency that is based on a skill set and that requires ongoing development. The NCBSN and each state board of nursing has guidelines for legal delegation. According to NCBSN, in delegating , the nurse must ensure appropriate assessment ,planning, implementation and evaluation. The delegation decision –making process is continuous, and is described as a model where there is a delegation criteria which describes nurse practice act that permits delegation and authorizes tasks to be delegated or authorizes the nurse to decide delegation. It describes delegator qualifications within scope of authority to delegate. The delegator should assess the situation, plan for the specific task to be delegated and assure accountability. The accountability is described as delegator accept accountability for the performance of the task and by verifying that delegate accepts the delegation and the accountability for carrying out the task correctly. The next step is to supervise the performance of the task and evaluate the entire delegation process. At last reassess and adjust the overall plan of care as needed. The NCBSN also point out the five rights of delegation . The first right is right task described as one that is...

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