Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
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Outline
Delegation of Tasks to Assistive Personnel
Definition/Etiology:
- Delegation – “Delegation generally involves assignment of the performance of activities or tasks related to patient care to unlicensed assistive personnel while retaining accountability for the outcome.”
- “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”
Pathophysiology:
- You cannot delegate the nursing process
- Don’t delegate what you “EAT” Evaluate, Assess, Teach)
Nursing Process:
- Assessment
- Diagnosis
- Outcomes/Planning
- Implementation
- Evaluation
Clinical Presentation:
5 Rights of Delegation:
- Right person
- Right task
- Right circumstance
- Right direction/communication
- Right supervision/evaluation
Collaborative Management:
- Assisting the client with their activities of daily living such as ambulation, dressing, grooming, bathing and hygiene
- Measuring and recording fluid intake and output
- Measuring and recording vital signs, height and weight
- Observation and reporting changes in and the current status of the patient’s condition and reactions to care
- The transport of clients and specimens and other errands and tasks such as stocking supplies
- Assistance with transfers, feeding, ambulation, and other tasks such as making beds and assisting with bowel and bladder functions
Evaluation | Patient Monitoring | Education:
- Ensure task was appropriate for UAP
- Monitor for completion of the task
- Assess any abnormal findings
Linchpins: (Key Points)
- Don’t delegate the nursing process
- The nurse is responsible for the delegated task.
- Think task!
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Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- American Nurses’ Association. (2012). Principles of delegation – American nurses association. Retrieved October 16, 2022, from https://www.nursingworld.org/~4af4f2/globalassets/docs/ana/ethics/principlesofdelegation.pdf
- RegisteredNursing.org. (2022, August 28). Assignment, delegation and supervision: NCLEX-RN. RN Programs – Start Your Journey as a Registered Nurse. Retrieved October 16, 2022, from https://www.registerednursing.org/nclex/assignment-delegation-supervision/
- The nursing process. ANA. (2017, December 20). Retrieved October 16, 2022, from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/the-nursing-process/
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Transitions HESI Prep
Concepts Covered:
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Communication
- Studying
- Prioritization
- Postoperative Nursing
- Fundamentals of Emergency Nursing
- Intraoperative Nursing
- Emergency Care of the Cardiac Patient
- Delegation
- Perioperative Nursing Roles
- Community Health Overview
- Factors Influencing Community Health
- Integumentary Disorders
- Concepts of Mental Health
- Neurological Emergencies
- Test Taking Strategies
- Basics of NCLEX
Study Plan Lessons
Admissions, Discharges, and Transfers
Advance Directives
Advocating For Your Patient
Barriers to Health Assessment
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Charge Nurse
Climbing the Clinical Ladder
Collaboration for Progressive Care Certified Nurse (PCCN)
Communicating with Family Members
Communicating with Other Departments
Communicating with Other Nurses
Communicating With Other nurses
Communicating with Patients
Communicating With Pharmacy, RT, OT, PT
Communicating with Providers
Communicating With Providers
Communicating with UAPs
Communication Course Introduction
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Confidence Building as a New Grad Nurse
Confidence in Communication
Confidence in Communication – Live Tutoring Archive
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
CRNA
Daily Charting
Day in the Life of a Community Health Nurse
Day in the Life of a Labor Nurse
Day in the Life of a Med-surg Nurse
Day in the Life of a Mental Health Nurse
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Day in the Life of a Postpartum Nurse
Day in the Life of an ICU (Intensive Care Unit) Nurse
Day in the Life of an Operating Room Nurse
Delegation
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
Documentation Basics
Documentation Course Introduction
Documentation Pro Tips
Documenting Escalation (Chain of Command)
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Facilitation of Learning for Progressive Care Certified Nurse (PCCN)
Fall and Injury Prevention
Finding Your First Nursing Job as a New Grad
Fire and Electrical Safety
First Year in Nursing Course Introduction
Flight Nurse
Forensic Nurse
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Fundamentals Course Introduction
Giving Handoff Report
Giving the Best Patient Education
Handling Job Rejection
Handoff Report
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
HIPAA
How to Give a Perfect Nursing Report (plus report sheet)
How to Take Nursing Report
How to Write A Nursing Progress Note
ICU Nurse Report to Floor Nurses
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Interviewing with Behavioral Questions
Interviewing with Nurse Manager
Introduction to the Electronic Medical Record (EMR)
Invoicing Process
Joint Commission
Legal Aspects of Documentation
Legal Considerations
Legalities of Charting
License Maintenance
Linen Change
Live Bedside Report OB and PACU
Live Bedside Report Medsurg (Medical surgical)
MSN (Masters) vs. DNP (Doctorate)
Networking 101
NRSNG Live | From Student to Real Nurse
NRSNG Live | Avoiding Legal Issues as a Nurse
NRSNG Live | So You Want to be a Surgical Nurse?
NRSNG Live | The Successful State of Mind
Nurse Educator
Nurse-Patient Relationship
Nursing Care Delivery Models
Nursing Interviews & Resumes Course Introduction
Nursing Report & Communication Course Introduction
Nursing Skills (Clinical) Safety Video
Nursing Skills Course Introduction
OB (Labor) Nurse Report to OB (Postpartum) Nurses
Oncology nurse
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Education
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Patient Satisfaction for Certified Emergency Nursing (CEN)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patients with Communication Difficulties
Portfolio
Precepting a New Nurse
Precepting a Student
Prioritization
Prioritization
Prioritizing Assessments
Professional Organization Participation for Certified Perioperative Nurse (CNOR)
Provider Phone Calls
Radiation Safety for Nurses
Remaining Calm
Safety Checks
SBAR and How to Give Handoff Report like a BOSS – Live Tutoring Archive
SBAR Communication
SBAR Communication Nursing Mnemonic (SBAR)
SBAR Practice Scenarios
The Top 5 Things You Need To Know About Documentation 1 – Live Tutoring Archive
The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Therapeutic Communication
Time Management
Transition To Practice
Transition to Practice Course Introduction
Trusting your Gut
Why CEs (Continuing education) matter