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Chapter 26Chapter 26
Delegation: An Art of Professional Delegation: An Art of Professional PracticePractice
Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
22Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
ObjectivesObjectives
Define delegation and its component parts.Define delegation and its component parts. Evaluate how tasks and relationships Evaluate how tasks and relationships
influence delegation to a specific individual.influence delegation to a specific individual. Comprehend the legal authority for a Comprehend the legal authority for a
registered nurse to delegate.registered nurse to delegate. Value the complexity of decision making Value the complexity of decision making
related to delegation.related to delegation.
33Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
DelegationDelegation
Achieving performance of care Achieving performance of care outcomesoutcomes for for which you are which you are accountableaccountable and and responsibleresponsible by by sharingsharing activities with other individuals activities with other individuals who have the appropriate who have the appropriate authorityauthority to to accomplish the workaccomplish the work
44Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Delegation: Exploring the Delegation: Exploring the DefinitionDefinition
Achieving outcomesAchieving outcomes Delegator vs. delegateeDelegator vs. delegatee Authority vs. responsibilityAuthority vs. responsibility
55Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Delegation: Exploring the Definition Delegation: Exploring the Definition (cont’d)(cont’d)
Assignment vs. delegationAssignment vs. delegation AccountabilityAccountability
66Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Organizational AccountabilityOrganizational Accountability
Making solid decisions depends on how well Making solid decisions depends on how well the organization provides adequate the organization provides adequate resources, including appropriate staffing.resources, including appropriate staffing.
77Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Delegation: Exploring the DefinitionDelegation: Exploring the Definition
Sharing activitiesSharing activities Span of controlSpan of control
88Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
What You Need to Know About What You Need to Know About DelegationDelegation
Why to do itWhy to do it When to use it When to use it Whom to delegate toWhom to delegate to How to do it How to do it What to consider in delegationWhat to consider in delegation
99Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Why Delegate?Why Delegate?
1010Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
When to Use ItWhen to Use It
Sometimes the need to use delegation is Sometimes the need to use delegation is obvious.obvious.
Other times, the need to use delegation is not Other times, the need to use delegation is not so obvious.so obvious.
1111Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Whom to Delegate toWhom to Delegate to
Licensed practical/vocational nursesLicensed practical/vocational nurses(LPNs/LVNs)(LPNs/LVNs)
Unlicensed nursing personnelUnlicensed nursing personnel(UNP): nurse aides, orderlies, patient care (UNP): nurse aides, orderlies, patient care assistants, unit clerksassistants, unit clerks
1212Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Who Are They?Who Are They?
Know what the organizational policy says.Know what the organizational policy says. Know what the position descriptions say.Know what the position descriptions say. Know how the individuals perform.Know how the individuals perform.
1313Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Who Are They? Who Are They? (cont’d)(cont’d)
Know what else an individual is responsible Know what else an individual is responsible for.for.
Know an individual’s knowledge, skill, and Know an individual’s knowledge, skill, and attitude about specific tasks.attitude about specific tasks.
1414Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
How to DelegateHow to Delegate
The approach to delegation depends on The approach to delegation depends on whether an individual is assigned to work whether an individual is assigned to work with you or whether an individual is with you or whether an individual is working with a group.working with a group.
1515Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
How to Delegate How to Delegate (cont’d)(cont’d)
State the name and room number of the State the name and room number of the patient for whom you are making an patient for whom you are making an assignment.assignment.
State what task is to be performed and State what task is to be performed and validate that the delegatee is able to perform validate that the delegatee is able to perform this without supervision.this without supervision.
1616Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
How to Delegate How to Delegate (cont’d)(cont’d)
Provide timelines (when, time range, Provide timelines (when, time range, frequency).frequency).
Detail any specific approach to be used.Detail any specific approach to be used. Set reporting parameters (when, how often, Set reporting parameters (when, how often,
under what circumstances).under what circumstances).
1717Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
What to Consider in DelegationWhat to Consider in Delegation
How long the person has worked with the How long the person has worked with the specific patient populationspecific patient population
Whether this person is an organizational Whether this person is an organizational employee or a contracted employeeemployee or a contracted employee
What is happening in the larger context of the What is happening in the larger context of the person’s lifeperson’s life
Whether delegation is safe for the patientWhether delegation is safe for the patient
1818Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Delegation:Delegation:Getting to the Right AnswersGetting to the Right Answers
The right taskThe right task The right circumstancesThe right circumstances The right personThe right person
1919Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Delegation:Delegation:Getting to the Right Answers Getting to the Right Answers
(cont’d)(cont’d) The right direction/communicationThe right direction/communication The right supervisionThe right supervision
2020Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
The Context of the OrganizationThe Context of the Organization
Examples include:Examples include: Hospital ICUHospital ICU Community clinicCommunity clinic Rural hospitalRural hospital Large healthcare organizationLarge healthcare organization
2121Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.
Delegation IsDelegation Is
A way to expand your available talentsA way to expand your available talents A way to ensure presence for the patientA way to ensure presence for the patient A challenge to assure adequate performance A challenge to assure adequate performance
of skills by the delegateeof skills by the delegatee A time-consuming AND time-saving strategyA time-consuming AND time-saving strategy
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