Nursing Assignment
Nursing assignment is one of the most essential decisions a charge nurse or nurse mangers has to make on a daily basis. It allows nursing managers to assign patient to a nurse based on education and level of experience. Assignments are most often mistaken as delegation. However they are not the same. Nursing assignment are basically made with regard to patient medical need, and acuity level. Delegation on the other hand, is when simple nursing tasks such as feeding, bathing, etc. are assigned to other nursing personnel to complete. According Catalano, “Delegation is recognized as designating ancillary personnel for the responsibility of carrying out a specific group of nursing tasks in the care of certain clients. Whereas “assignment is designating tasks for ancillary personnel that fall under their own level of practice according to facility policies, position descriptions, and, if applicable, state practice act (Catalano 2014). Nursing assignments involves critical thinking skills because accuracy is important to optimize care. It is important for charge nurses to ensure proper and appropriate assignment because lapse can lead to poor quality of care, disappointing outcomes of care, the jeopardized of client safety, and could even legal consequences. Thus as a charge nurse, it is important to incorporate critical thinking, clinical reasoning and judgement when assigning patient care.
As a charge nurse I will assign the 76-year-old client who was
Delegating is one of the most valuable leadership skills a charge nurse possesses. Effective delegation skills are essential for proper patient care and safety. Delegation is defined as when a nursing professional entrusts the performance of a nursing task to someone who is qualified, competent, and able to perform the assigned task (Q1). In order for the charge nurse to delegate effectively, he or she must take into consideration the patient's needs as well as the capabilities of the nursing professional for whom he or she is delegating the task to. The American Nurses Association outlines The Five Rights of Delegation as a guideline for nursing professionals. The first right is for the professional to determine if the task is one to
A few perspectives related nursing delegation such as professional standards, legal aspects and ethics affects will be analyzed to clarify the authorizing mechanisms of nursing delegation. At the end, a personal reflection will be identified and described how I will approach to delegation in my own nursing practice in the future. Keys points about how to delegate in nursing will be summarized in conclusion section.
Nursing is not just a collection of tasks. To provide safe and effective care to the clients, nurses must integrate knowledge, skills and attitudes to make sound judgement and decisions. This essay describes some of the essential knowledge, skills and attitudes of nursing and discusses why they are essential attributes of a competent nurse.
One common mistakes exhibited by professionals in the field is delegation of duties by persons. Nurses should be wary of delegating duties to health care assistant because nurses should be aware of the abilities of the person with whom he or she is delegating duties. This is to minimize any chance of poor service delivery. Poor patient attendance by a person tasked with the duty at the time of delivery will extend the liability to the nurse delegating duties.
Nursing Delegation: A Professional Challenge George S. Diaz Chamberlain College of Nursing NR-103: Transition to the Nursing Profession September 20th 2017 Nursing Delegation: A Professional Challenge The purpose of this paper is to prove delegating effectively will provide positive patient outcome, but if done ineffectively can lead to errors resulting in patient harm or death. Nursing delegation brings upon a shared responsibility to the tasks at hand to those who can do the appropriate work.
If you are trying to pursue a career in nursing you should do your research on this field. I have learned so much about what it takes to pursue a career in nursing and that there is so much more to it than just choosing what kind of nurse you want to become, to find out all about nursing you have do all the research possible. There are many roles that a nurse has such as a caregiver, educator, advocate and many more. The practice level of nursing is very broad also, there are plenty of degrees that you can get as a nurse, along with the specialty areas of practice I want to become a pediatric nurse which would be a specialty area. The practice settings of nurses vary from a hospital, community, outpatient, or school there is an endless
Delegation occurs on a daily basis in nursing and understanding the parts of delegation I remain accountable and responsible for will be important to ensure I am functioning appropriately as a registered nurse. Accountability also occurs in daily interactions with peer registered nurses. The understanding of accountability in this role is vital given the registered nurse is part of a team and must frequently interact with fellow nurses. Understanding accountability to peers helps with building confidence between peers and strengthens the working relationship. Since I have had very little experience in delegation as well as minimal interactions with peer nurses, other than preceptors, understanding the differences and roles of accountability and responsibility are important.
Although teaching may be done first, last, or in the middle of patient care, teaching is a very important part of the nursing process. Teaching is important for the patient and family to understand the importance of their care, and it allows them to make an informed decision on the care they receive. To appropriately teach a patient we must look at the patient’s background, make a nursing diagnosis, develop behavioral objectives, outline the teaching plan, and evaluate the teaching’s effectiveness.
Scope of Practice Nursing is an occupation that specializes in caring for people with medical issues. Nurses must follow the scope of practice to perform their job appropriately. The scope of practice is important because it provides guidelines for nurses to follow for safe and legally binding practice. The purpose of this posting is to discuss the definition of the scope of practice as defined by the American Nursing Association and also the scope of nursing practice in the state of Ohio. The American Nursing Association defines the scope of practice in nursing by: who, what, when, where, why and how (American Nurses Association [ANA], 2010, p. 2).
While discussion about work assignments is encouraged, nurses must have valid reasons for refusing work assignments. Allowing one nurse and not others to refuse assignments out of convenience creates an unfair environment. It is also imperative that nurse manager review work expectations regarding patient safety, timeliness, teamwork, and professional and unprofessional relationships with the nurse in question as well as with all employees. Furthermore, obtaining documentation of understanding in writing would be a great way for both parties to establish a solid starting point. After expectations clearly set, the nurse can be given the opportunity to self-correct the behaviors.
Deborah, I too believe that charge nurses should not be in a patient assignment. They have many other task and priorities which may interfere with the care that his or her patients deserve.
2). Based on ANA’s Model of Professional Nursing Practice, the peak level in the model is the self-determination by the nurse after examination and review of each other point, including the regulation provided by the nurse practice acts, licensing jurisdictions and the institutional policies and procedure (ANA, Scope and Standards of Nursing Practice, 2010, pp. 8-9). Therefore, it is crucial for the nurse to determine if she feels capable and competent performing the procedure and, of course if she is willing to undertake accountability for the action and its consequence. The result of the entire process is centered on safety, quality and evidence-based
Nursing theories are the support of nursing practice today. They are significant to nursing practice, education and scientific research because they help to determine, what is already known, and what additional knowledge and skills are needed. Nurses are usually first exposed to nursing theories during nursing education and further exposure comes from hands on training. The gained knowledge, about nursing theories, through education and training enhances better outcomes for patients and caregivers, allows application of professional boundaries, and assists in decision making. In this paper I will attempt to analyze, in general, the importance of nursing theory to the nursing profession; discuss middle-range theory, furthermore Benner’s
A nursing assignment is one of the most essential decisions a charge nurse or nurse managers have to make on a daily basis. It allows nursing managers to assign patient to a nurse based on education and level of experience. Assignments are most often mistaken as delegation. However, they are not the same. Nursing assignment is basically made with regard to patient medical need, and acuity level. Delegation, on the other hand, is when simple nursing tasks such as feeding, bathing, etc. are assigned to other nursing personnel to complete. According to Catalano, “Delegation is recognized as designating ancillary personnel for the responsibility of carrying out a specific group of nursing tasks in the care of certain clients. Whereas “assignment is designating tasks for ancillary personnel that falls under their own level of practice according to facility policies, position descriptions, and, if applicable, state practice act (Catalano 2014). Nursing assignments involve critical thinking skills because accuracy is important to optimize care. It is important for charge nurses to ensure proper and appropriate assignment because lapse can lead to poor quality of care, disappointing outcomes of care, the jeopardized of client safety, and could even legal consequences. Thus as a charge nurse, it is important to incorporate critical thinking, clinical reasoning and judgment when assigning patient care.
Nursing is a complicated profession requiring a broad knowledge base, discipline, and a deep desire to understand and interpret scientific data with a goal of obtaining the best possible patient outcomes. This can be very difficult to achieve, requiring the nurse to process a variety of information, prioritize, and problem solve at a critical level (Wilkinson, Treas, Barnett, Smith, 2016). The nursing process is a scientific approach, utilized by nurses to systematically improve patient care by following five steps: assessment, diagnosis, planning, implementation, and evaluation (Wilkinson et al., 2016). A good nurse is someone who understands these phases, continues to build on them, and uses the information to create the best possible, individualized, healthcare plan for the patient. It is a mastery of art to find a way to include all of these concepts with so many diverse medical diagnoses. Having a structural way, such as the nursing process, paves a strong foundation for the nurse to maintain a patient centered approach to implement exceptional nursing care (Goncalves, Spiri, Ortolan, 2017).