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Difficulty: EasyClient Care Assignments and Collaboration

A practical nursing instructor is reviewing the principles of safe delegation. Match each nursing action to the corresponding step of the NCSBN Five Rights of Delegation.

  • Deciding that a routine vital sign measurement is a legally appropriate activity to assign.Right Task
  • Verifying that the client's condition is stable before assigning a bed bath.Right Circumstances
  • Confirming that the assistive personnel has documented competency to perform a 12-lead electrocardiogram.Right Person
  • Stating specifically that the nurse must be notified if the client's heart rate exceeds 100 beats per minute.Right Direction/Communication
  • Following up at the end of the shift to ensure the delegated ambulation was completed safely and documented.Right Supervision/Evaluation

Answer

The nursing actions match the Five Rights of Delegation as follows: Determining appropriateness of the activity matches Right Task. Verifying client stability matches Right Circumstances. Confirming competency matches Right Person. Stating specific reporting parameters matches Right Direction/Communication. Following up matches Right Supervision/Evaluation.
Each right of delegation serves a specific purpose in ensuring safe client care. Right Task ensures the activity is delegable. Right Circumstances ensures the client is stable. Right Person ensures the delegatee is competent. Right Direction/Communication ensures clear instructions and reporting parameters. Right Supervision/Evaluation ensures follow-up and accountability.

Step-by-Step Solution

1
Analyze the action of determining if an activity is legally appropriate to assign.
This aligns with Right Task.
Right Task ensures the delegation is permissible under the scope of practice and the facility's policies.
2
Analyze the action of verifying the client's stability prior to assignment.
This aligns with Right Circumstances.
Right Circumstances ensures the client is safe and predictable, making the situation appropriate for delegation.
3
Analyze the action of confirming the delegatee's competency and training.
This aligns with Right Person.
Right Person ensures the individual assigned to the task has the correct skills and documented ability to perform it safely.
4
Analyze the action of providing specific parameters to report back.
This aligns with Right Direction/Communication.
Right Direction/Communication involves giving clear, specific instructions and setting expectations for feedback.
5
Analyze the action of following up on the delegated task.
This aligns with Right Supervision/Evaluation.
Right Supervision/Evaluation involves monitoring, evaluating the outcome, and ensuring proper completion and documentation.

Key Concept

NCSBN Five Rights of Delegation
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Topics

Client Care Assignments and Collaboration

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