1. More Than Workload Distribution
Delegation
More Than Workload Distribution

2. Delegation ANA Definition
“The transfer of an activity from one person to another while retaining accountability for the outcome”

3. Advantages of Using UAP’s
Ability to meet patient care needs more quickly
Better use of RN time and education
Reduction of health care costs
Improved RN job satisfaction

4. Legal Basis of Delegation
Contained in each State Nurse Practice Act
Nurse retains responsibility
Accepting important trust or duty
Nurse retains accountability
Being answerable or bound by obligation
Nurse retains authority
Right & power to decide, influence, or evaluate
Nurse retains legal liability
Can be found negligent for inappropriate delegation or supervision

5. 5 “C’s” to Effective Delegation
Clear, Concise, Correct, Complete Communication
Clear descriptions & time limits
Collaboration
Receptive to input from other team members
Continuity
Progress reports and availability
Cohesiveness
Support team members with positive feedback
Commitment
Be a role model

6. What to Communicate Delegated assignment
Priorities and order of completion
Expected outcome
When task is to be completed
Report times and data expected
Parameter deviations
Appropriate resources

7. Do NOT Delegate Assessment / Evaluation Nursing diagnosis Planning
Teaching
**Activities that require a license in nursing and require nursing judgment

8. 5 Rights of Delegation Right Task Right Person
Repetitive , supportive, nonnursing tasks
Right Person
Right person to right person for right person
Right Direction/Communication
description with objective, limits, & expectations
Right Supervision
Appropriate monitoring, evaluation, & feedback
Right Circumstances
Appropriate setting & available resources

9. Steps to Successful Delegation
Start with a positive attitude
Clarify availability
Provide appropriate clear directions
Define what needs to be done, by whom, how, and when
Clearly indicate priorities
Verify comprehension
Give and receive feedback

10. To Delegate or Not Consider Client’s condition
Complexity of assignment
Capabilities of UAP
Potential for harm
Supervision you will be able to provide
Predictability of outcome

11. But I Don’t Want to Delegate
Little or no exposure or experience to delegating
Concern about licensure
Concern for quality
Difficulty asking others to do things
Difficulty letting go of “tasks”