To Delegate Or Not To Delegate

934 words - 4 pages

As a supervisor in my facility it is not uncommon to be asked to float a staff member to another area within the hospital due to staffing shortages. Two weeks ago, I was approached by my director to do just that. However, in this circumstance, I felt the request was inappropriate. The radiology registered nurse had more tasks to accomplish than normal and had requested that one of my nurses, a former radiology nurse, insert PICC lines for the afternoon. My nurse had been in the cardiology department for three years and had not placed a PICC line since leaving the radiology department. In my facility, it is a requirement that the nurse place a minimum of five PICC lines a year to be ...view middle of the document...

The protection is in the form of reasonable laws to regulate nursing.” In North Carolina, these laws are known as the North Carolina Nursing Practice Act.
The North Carolina Nursing Practice Act is a twenty four page legal document that “regulates the practice of nursing in North Carolina and guides the work of the board.” This Nursing Practice Act addresses both delegating and accepting responsibilities outside of scope of practice. It states, “managing the delivery of nursing care through the on-going supervision, teaching and evaluation of nursing personnel is the responsibility of the registered nurse as specified in the legal definition of the practice of nursing and includes, but is not limited to….delegating responsibility or assigning nursing care function to personnel qualified to assume such responsibility and to perform such functions.”
The North Carolina Board of Nursing (NCBON) attempts to clarify the responsibilities of delegating by providing a position statement on such a practice. Their position statement clearly states, “Before assigning/delegating nursing activities to staff, the licensed nurse needs access to information about the RN-validated competencies for each individual” (2013). In this statement, the NCBON further defines delegating as “transferring to a competent individual the authority to perform a selected nursing activity in a selected situation. The nurse retains accountability for the delegation.” When making decisions about delegating, the registered nurse must always refer to the five rights in delegating: right task, right circumstance, right person, right directions and communication and right supervision and evaluation (Blais & Hayes, 2011).
In returning to my situation two weeks prior, I could have referred to this NCBON website to support my decision. I...

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