Sam is a new nurse working the day shift on a busy medical-surgical unit. He asks his aide to walk the patient in Room 244 while he admits another patient. The patient in Room 244 is a postangioplasty, and it would be the first time he has ambulated since the procedure. Sam tells his aide to walk the patient only to the nurse's station and back. He also says that if the patient's heart rate rises more than 20 beats/min above the resting rate, the aide should stop, have the patient sit, and inform Sam immediately. A. Did Sam appropriately delegate in this scenario? If not, which of the rights of delegation was not followed? Why? B. The aide misunderstands Sam's instructions and instead ambulates the patient in Room 234, who is 3 days post-hysterectomy and has been walking in the halls for 2 days. Where did the breakdown in communication occur? C. Who would be accountable for the outcomes if the patient in Room 234 had fallen and broken a hip during ambulation? Would it be Sam, who directed the aide to ambulate the patient in Room 244, or the aide, who actually ambulated the patient in Room 234?
Delegation is transferring the authority to perform a selected nursing task in a selected situation to a competent individual
The five rights of the delegation process are:
*The licensed nurse who delegates the “responsibility” maintains overall accountability for the patient. However, the delegatee bears the responsibility for the delegated activity, skill, or procedure.
*The licensed nurse cannot delegate nursing judgment or any activity that will involve nursing judgment or critical decision making.
*Nursing responsibilities are delegated by someone who has the authority to delegate.
*The delegated responsibility is within the delegator’s scope of practice.
* When delegating to a licensed nurse, the delegated responsibility must be within the parameters of the delegatee’s authorized scope of practice under the NPA.
Accountability is the process of acknowledgment and assumption of responsibility for actions, decisions, and policies within the scope of the role or employment position and encompassing the obligation to report, explain, and be answerable for resulting consequences
In the present scenario, Sam is a new nurse working the day shift on a busy medical-surgical unit. He asks his aide to walk the patient in Room 244 while he admits another patient. The patient in Room 244 is a postangioplasty, and it would be the first time he has ambulated since the procedure. Sam tells his aide to walk the patient only to the nurse's station and back. He also says that if the patient's heart rate rises more than 20 beats/min above the resting rate, the aide should stop, have the patient sit, and inform Sam immediately.
A. Did Sam appropriately delegate in this scenario? If not, which of the rights of the delegation was not followed? Why?
Here Mr. Sam is not followed one of the important rights of the delegation that is Right communication with the aide, that means there is a lack of proper hand over to the aid regarding the patient for ambulation because he is busy with admission regarding another patient
B. The aide misunderstands Sam's instructions and instead ambulates the patient in Room 234, who is 3 days post-hysterectomy and has been walking in the halls for 2 days. Where did the breakdown in communication occur?
Here we can see the breakdown of communication between Mr.Sam and aide can occur regarding the patient general information, diagnosis and room number thus result in a misunderstanding of the instructions given by Mr. Sam to the aide.
C. Who would be accountable for the outcomes if the patient in Room 234 had fallen and broken a hip during ambulation? Would it be Sam, who directed the aide to ambulate the patient in Room 244, or the aide, who actually ambulated the patient in Room 234?
Here Mr. Sam is accountable for the outcomes, in case if the patient in Room 234 had fallen and broken a hip during ambulation. Why because while during the process of delegation of his responsibility or authority the nurse has to follow all the rights of the delegation.
Sam is a new nurse working the day shift on a busy medical-surgical unit. He asks...
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