A practical nurse (PN) is preparing to delegate the routine task of obtaining morning vital signs on a stable adult client to an assistive personnel (AP). Arrange the steps of the delegation process in the correct chronological sequence.
- 1Verify that the client's condition is stable and the task is appropriate for delegation.
- 2Confirm that the specific AP has the required training and competence to perform the task.
- 3Communicate specific instructions to the AP, including exact parameters for reporting abnormal results.
- 4Follow up with the AP to confirm task completion and evaluate the documented findings.
Answer
The correct sequence follows the standard delegation process: first assessing the client's stability (Right Circumstance/Task), then verifying the AP's competence (Right Person), followed by giving clear instructions (Right Direction/Communication), and finally evaluating the outcome (Right Supervision/Evaluation).
The NCSBN delegation model requires a systematic approach. The nurse must first assess the client and the appropriateness of the task, then ensure the right person is selected. Only after these factors are confirmed can the nurse provide specific directions. Finally, the nurse must supervise and evaluate the outcome, as accountability for the task's outcome always remains with the delegating nurse.
Step-by-Step Solution
Key Concept
Five Rights of Delegation in Nursing Practice