Nursing Delegating Case Study

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The ANA defines nursing delegation as “transferring the responsibility of performing a nursing activity to another person while retaining accountability for the outcome” (ANA & the National Council of State Boards of Nursing [NCSBN], 2006). Prior to delegating, the Certified School Nurse assesses the need of the student in order to determine the level of training and supervision required for the safe delegation of this specific student. Also the CSN needs to follow the 5 rights of delegation in order to provide for safe care, to guide their assessment, and to verify if the delegation is appropriate for the student and the situation. The five rights of delegation are: 1) the Right task; 2) the Right circumstances; 3) the Right person; 4) the Right directions and communication; 5) the Right supervision and evaluation.
There are legal parameters for nursing delegation defined by the State Nurse Practice Acts, State Board of Nursing guidelines, and Nursing Administrative Regulations/Rules. In this case study scenario, the CSN would first share with the staff Registered Nurse Jeff’s EMC and IHP. According to Cagineello at all (2014), the Individualized Health Care Plan should outline
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However, states may limit what health services may be delegated to unlicensed assistive personnel. Moreover, the RN is the person responsible for determining when it is appropriate to delegate since delegation may not be appropriate for all students or all school nursing practices. With that in mind, it is important to remember that the only component of the nursing process that may be delegated is Intervention, with supervision. The Registered Nurse is responsible for the assessment, diagnosis, planning, and evaluation and may not delegate these function to a UAP. Lack of knowledge of delegation can put CSN in litigation

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