DELEGATION TEST

To ensure effective delegation practices, the following elements must be in place.

All of these

When the RN has questions or concerns related to delegation, they should access the following resources:

Organizational policy and procedures and Tennessee Nurse Practice Act and Rules

The five rights of delegation include which of the following:

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

Inappropriate delegation may result in unsafe patient practices. An example of this would be which of the following:

all of these

the RN is responsible to delegate only to individuals that:

all of these are necessary

Sara is a new RN and her first job is within a busy medical practice that encompasses an outpatient ambulatory care center as well as a walk in clinic. She has noticed many of the nurses assigning and delegating to unlicensed staff duties such as medication injections, assessment of lung sounds, prescription refills, as well as teaching new diabetics. She brings her concerns directly to her manager who informs her that this is an acceptable practice because there are physicians on duty in the building at all times. Sara's responsibilities at this point include which of the following:

all of these are sara's responsibilities

supervision includes which of the following:

both delegating and assigning to others

he RN determines based on his or her experience whether or not an individual to whom he or she delegates a task requires personal supervision. (T/F)

false

James, RN is a home health nurse with a heavy load of patients today. He is also responsible to supervise three home health nursing assistants who have their own assignments. Unexpectedly, two of James' patients have required more time than anticipated and he will not be able to meet with Mrs. Smithson and her family to review her dietary restrictions. He calls nursing assistant Lisa and asks her to swing by Mrs. Smithson's house and review the paperwork he left behind yesterday with the patient and her family. They can save their questions for tomorrow when he makes a home visit. appropriate delegation?

no

Janice works as a nurse technician in the intensive care unit and today has been assigned to work with Samantha, RN. Janice has been there for over 10 years and has gained the trust and respect of the nursing staff with her work ethic and level of knowledge.<br><br>While Samantha is busy with an admission she asks Janice to check in on Mr. Thomason to see how he is doing now that his nitro drip is running. appropriate delegation?

no

The practice of "Professional Nursing" in Tennessee is defined within which of the following:

nursing tennessee code

when the RN assigns tasks to an unlicensed staff member, the following is true:

supervisory responsibility remains with the RN

One of the criteria of unprofessional conduct and negligence in Tennessee is related to assigning unqualified persons or delegating outside of the practice act or rules of the Board of Nursing. (T/F)

true

Tasks including assisting with patient baths, feeding, and dressing or undressing a patient are all considered to be appropriate for an unlicensed staff member under the supervision of the RN. (T/F)

true

Tennessee Rules and Regulations of Registered Nurses considers the following unprofessional behavior, "Delegating care functions, tasks, responsibilities to others contrary to the Nurse Practice Act or rules and regulations to the detriment of patient safety." (T/F)

true

in the state of TN, both the nurse practice act and Tennessee administrative rules determine the element of RN delegation (T/F)

true

the act of delegation implies passing responsibility not accountability (T/F)

true

an example of appropriate tasks for the RN to delegate to an unlicensed staff member includes

vital signs and totaling intake and output

Charlie, RN is team leader in a long term care facility. One of his responsibilities is to post assignments for his shift for all licensed and unlicensed staff. Today, he has 3 LPNs and 6 nursing assistants for staffing of this unit. Report from the night shift reveals one of the patients may be in heart failure requiring transfer to the acute care facility this morning. He has assigned one of the nursing assistants to work with him on this patient while he does an initial nursing assessment in preparation for the transfer. The nursing assistant will be responsible for compiling intake/output, latest set of vital signs, and documenting any belongings being sent with the patient. appropriate delegation for the nursing assistant?

yes

Sharon, RN has asked nurse technician Tim to bathe Mrs. Smith and then do vital signs on 6 patients assigned to him today. Sharon informs him she is heading to her lunch break but will be in the conference room if he needs her. Is this appropriate delegating and assigning?

yes