Delegation

a, c, d

1. You are preparing to care for a 6-yr-old who has just undergone allogeneic stem cell transplantation and will need protective environmental isolation. Which nursing tasks will you delegate to the nurse assistant? SATA a. Stock area with needed personal protective equipment items b. Teach client to perform hand washing after using bathroom c. Remind visitors to wear a respirator mask, gloves, and gown d. Post sign detailing precautions for protective isolation on door e. Talk to the family visitors about the reasons for protective isolation

it sounds like you are a little behind. what can I do to help?

Consider the nurse who is having difficulty with a patient care assignment, has not asked for any help, but keeps saying things like, "As usual, I'll have to stay late until I get it all done." What response by the charge nurse would best address the nurse's passive aggressive behavior?

assignment

Distributing work to qualified persons for implementation of a specific activity or set of activities within their job description

right task, right circumstance, right person, right direction/communication, right supervision/evaluation

5 rights of delegation

identify needed skill and education, select and empower capable personnel, communicate goals clearly, set deadlines and monitor progress, monitor role and provide guidance, evaluate performance, reward accomplishment

7 steps to successful delegation/planning ahead

C

As the pediatric unit charge nurse, you are making patient assignments for the evening shift. Which patient is most appropriate to assign to an experienced LPN? A. 1-yr-old with severe immuno-deficiency disease who is scheduled to receive chemotherapy. B. 2-yr-old who has orders for a platelet transfusion. C. 3-yr-old who has chronic host-vs-graft disease & is incontinent of loose stools. D. 6-yr-old admitted with increasing lethargy and fever.

delegation

Getting work done through others; Directing the performance of one or more people to accomplish organizational goals; Transfer of responsibility for the performance of a task from one person to another; Transferring to a competent individual the authority to perform a selected nursing task in a selected situation

planning

Which step of the nursing process most aligns with decision-making?

c

You are the charge nurse@oncology unit when a client with neutropenia (300/uL) is admitted. Which staff member should you assign to provide care for this client, under the supervision of an experienced oncology RN? A. LPN who has floated from the same-day surgery unit. B. RN from a staffing agency who is being oriented to the oncology unit. C. LPN with 2 years experience on the oncology unit. D. RN who recently transferred to the oncology unit from the ED.

summative task tool

a patient care classification tool that notes the frequency of specific activities during the shift will inform patient acuity

reflection

can help focus on the affective components of passive aggressive messages

patient acuity

considered during delegation; includes how sick, total cares, monitoring and other medical devices

last resort

reassuming a delegated task should be a manager's...

charge role

the nurse identified as the __________________ must consider the skill set of current shift staff, including nurses brought in (float) from other units and novice nurses