Decision Tree for Delegation to Nursing Assistive Personnel
Our healthcare facility is determined to reduce the cost of care and improve the quality of care delivery to patients by implementing an anti-pressure ulcers intervention. The two hundred-bed capacity hospital registers about five hundred pressure ulcers cases each year, with 2020 being the worst period for the healthcare facility-acquired condition. St. Ursula Sanatorium utilizes a combination of evidence-based interventions involving the hourly turning of bedridden patients, together with the application of skincare gel on their skin as a corrective measure. However, the clinic’s activities requiring nurses’ attention, especially in the intensive care unit, frequently becomes overwhelming. The situation necessitates that nurse’s delegate part of their daily duties.
The busy work during the last half of 2021 forced me to delegate the anti-pressure ulcers intervention activities to an unregistered nursing graduate interned at the facility. Two patients in the intensive care unit were under my care during the period, and I could not serve them appropriately. That led to the delegation of the two patients’ turning and skin gel application procedures to the UAP. The unregistered nurse’s choice resulted from several factors. I, for instance, ensured compliance with Catalano’s (2019) directives by ensuring that the nurse has training on the interventions and related intensive care procedures and that the move never exposed the patients’ lives to foreseeable danger. I also ensured that proper documentation and effective two-way communication channels were well-established before the delegation.
The assessment and planning questionnaire provides a substantially essential tool to test my delegation competence. A critical part of the questionnaire covers the ‘rights’ aspect, which tests the appropriateness of everything involved in the delegation process. The questionnaire looks at the availability of the right task(s), right circumstance(s), right person, right communication channel, and proper supervision (Catalano, 2019). Other parts of the questionnaire look into the nurse’s and UAP’s documentation capabilities, feedback development and analysis, and variables like risks and knowledge levels. Complying with the various elements during my delegation process makes me competent in the area.
Catalano, J. (2019). Nursing Now: Today’s Issues, Tomorrow’s Trends. Philadelphia: F.A. Davis Company.