DELEGATION PAPER

Delegation Paper

Delegation Paper

Case

Everyone remembers their nursing licensure examination and the feeling of overwhelming relief once the passing scores were in. Although that was a great feeling, ongoing licensure carries with it some significant responsibilities. The nursing license is the individual agreement between the nurse and state governing bodies committing the nurse to function competently and within the Nurse Practice Act. Each state has a nursing quality governing body known as the Board of Nursing or the Nursing Care Quality Commission. These governing bodies are responsible for defining nursing practice and overseeing licensure, quality, and ongoing nursing competency. The key role for these governing bodies is to serve to protect the public. The Nurse Practice Act is the basic enabling law for licensure and the definition of nursing practice in the jurisdiction of the legislative body establishing the Act. In the Nurse Practice Act, the RN Scope of Practice states how nursing may be practiced. Delegation is discussed within these regulations. 

There is no time like the at hand to illustrate your attending the 2nd Annual Nursing Economic$ Nurse Faculty/Nurse Executive conference. Once more, we have our finger on the heart rate to deal and supply substantial data to leverage reactions and results to nursing's daily confrontations and preferences. The conferences will provide unique chances to create strategic partnerships with colleagues who are in search of actionable and pertinent solutions in actual time (www.ncsbn.org). 

A prototype change in Patient Care Delivery” talks about how much time RNs exhausted in value-added care, and whether modifying the combined level of RNs and unlicensed assistive personnel enhanced the amount of time exhausted in value-added care equated to time spent in necessity tasks and waste. In “The Bridge to Practice Model: A cooperative Program planned for Clinical Experiences in Baccalaureate Nursing,” Paterson and Grand jean propose that institutional persistence and university/hospital collaboration consequence in less predilection time for students and faculty, more participation with clinical accompaniment services and care management, and more communicated employment alternatives by senior students. In seeking to cover the keeping of experience nurses, Russell, Sikdar, Imerman, and Orazem propose in the upcoming November/ December 2008 concern there are options to keep an experienced nursing workforce by efforts to recover nurses who have either let their licenses terminate or have left the nursing workforce (Snyder; Medina; Bell and Wavra 2004). 

The Five Rights of Delegation

According to the case, all decisions related to delegation of nursing activities should be based upon the fundamental principle of public protection. Licensed nurses have ultimate responsibility for the management and provision of nursing care, comprising of all delegation decisions. While, seldom is a single nurse accountable for all aspects of the delegation decision-forming procedure, its implementation, superintendence, and assessment. The Five Rights of Delegation, recognized in Delegation: Concepts and Decision-forming Procedure can be used as a mental checklist to assist nurses from multiple roles to clarify the critical elements of the decision-forming procedure. Nursing service administrators (all levels of executive/management nurses) and staff nurses each have responsibility in assuring that the delegation procedure is implemented safely and effectively to produce positive health outcomes. Nursing service administrators (NSA) and staff nurses should work together collaboratively and cooperatively to protect the public and maintain the integrity of the nursing care delivery system. The following principles delineate responsibility for nurses at all levels from NSA to staff nurses (Snyder; Medina; Bell & Wavra 2004).

Right Task

According to the delegation tree in this step, Nursing Service ...