A registered nurse (RN) is preparing to delegate the tasks of obtaining morning vital signs and assisting with ambulation for a postoperative client to an unlicensed assistive personnel (UAP). Arrange the nurse's actions in the correct sequential order according to the National Council of State Boards of Nursing (NCSBN) guidelines for safe delegation.
- 1Assess the client's current condition to determine if the tasks are appropriate for delegation.
- 2Verify the unlicensed assistive personnel's competency and experience to perform the tasks safely.
- 3Communicate clear, specific instructions including parameters for reporting abnormal findings.
- 4Provide periodic surveillance and supervision while the tasks are being performed.
- 5Evaluate the client's final outcomes and provide constructive feedback to the delegatee.
Answer
The correct sequence for safe delegation is: 1) Assess the client's condition and task appropriateness, 2) Verify the UAP's competency, 3) Communicate clear instructions and parameters, 4) Provide supervision during the task, and 5) Evaluate outcomes and provide feedback.
Safe delegation follows a systematic, sequential process to ensure patient safety and adherence to the Five Rights of Delegation. The RN must first assess the client's stability and the appropriateness of the task. Next, the RN verifies the delegatee's competence. The RN then provides specific, clear instructions. While the task is being performed, the RN provides ongoing monitoring and supervision. Finally, the RN evaluates the outcome and provides necessary feedback.
Step-by-Step Solution
Key Concept
The NCSBN Delegation Process and the Five Rights of Delegation