Question

Sam is a new nurse working the day shift on a busy medical-surgical unit. He asks his aide to walk the patient in Room 244 while he admits another patient. The patient in Room 244 is a postangioplasty, and it would be the first time he has ambulated since the procedure. Sam tells his aide to walk the patient only to the nurse's station and back. He also says that if the patient's heart rate rises more than 20 beats/min above the resting rate, the aide should stop, have the patient sit, and inform Sam immediately.

Did Sam appropriately delegate in this scenario? If not, which of the rights of delegation was not followed? Why?

The aide misunderstands Sam's instructions and instead ambulates the patient in Room 234, who is 3 days post-hysterectomy and has been walking in the halls for 2 days. Where did the breakdown in communication occur?

Who would be accountable for the outcome if the aid had ambulated the patient in Room 244 as Sam instructed and the patient was injured during ambulation? Would it be Sam, who directed the aide to ambulate the patient in Room 244, or the aide?

What does the Nursing Today book note for where to find the right task to delegate?

Answer 1

1

• NO, ABSOLUTLY WRONG .HE DIDN'T REQUISITE KNOWLEDGE AND EXPERIANCE TO COMPLETE DELEGATED TASK SAFELY, ESPECIALLY CONCERNING THE ASSESSED PATIENT ACUITY.
• HE VIOLATED RIGHT PERSON RIGHTS OF DELEGATION AND RIGHT CIRCUMSTANCES RIGHTS OF DELEGATION BECAUSE DIDN'T REQUISITE KNOWLEDGE AND EXPERIANCE OF DELEGATEE AND ALSO HE DIDN'T CONSIDER WHETHER THE DELEGATEE UNDERSTOOD ASSIGNED TASK , DIRECTIONS, PATIENT LIMITATIONS AND EXPECTED OUTCOMES BEFORE THE DELEGATEE ASSUMES RESPONSIBILITY FOR IT.

   2 DELEGATOR MUST USE DIRECT ,HONEST, OPEN , CLOSED- LOOP COMMUNICATION TO ENCOURAGE TEAM WORK AND SAFE TASK PERFOMANCE .THE UNCLEAR DELEGATION DIRECTION FROM THE REGISTERED NURSE,A LACK OF RETAINED ACCOUNTABILITY AND FOLLOW THROUGH A FAILURE OF THE REGISTERED NURSE TO OBTAIN THE AGREEMENT OF THE LICENCED ASSISSTIVE PERSONNEL.

3 IT SHOULD BE SAM IS RESPONSIBLE FOR THE INJURY . ACCORDING TO RIGHT SUPERVISION REGISTERED NURSES ARE ACCOUNTABLE FOR EVALUATION AND THE OVERALL PAIENT OUTCOMES.

4 MARK FOR RIGHT TASK TO DELEGATE ARE (1) WHICH TASK ARE LEGALLY APPROPRIATE TO DELEGATE (2) CAN I DELEGATE THESE TASKS BASED ON THIS ORGANISATIONAL POLICIES. GENERALLY REGISTERED NURSES ARE RESONSIBLE FOR THE ASSESSMENT ,PLANNING ,AND EVALUATION WITHIN THE NURSING PROCESS.