“If you really want to grow as an entrepreneur, you have got to learn to delegate.” (Richard Branson). Delegation, in general involves assigning activities or tasks related to patient care to unlicensed assistive personnel while retaining accountability for the outcome. The national council of state boards of nursing and the American Nurses Association defines delegation as the process by which a nurse directs another person to perform a nursing task and activities (Haugen & Galura, 2019). The nurse responsible for delegation must be aware of variables besides the client’s conditions. The nurse is responsible for prioritizing and individualizing a client’s care plan. Prioritization can be termed as deciding which needs or problems require immediate action and which could tolerate a delayed response until a later time as they are not urgent. Supervision can help create a more supportive, caring and positive working environment by providing a space for regular communication, problem-solving, and increased team working. Supervision helps in planning the daily work schedule of the workers by guiding them on the nature of their work and dividing the work amongst the workers according to their interests, aptitudes, skills and interests. This essay will first describe the patient assigned to the licensed practical nurse (LPN), describe the care to delegate to the LPN and certified nursing assistant (CNA), the interventions to take for the supervision of the LPN and CNA, and lastly, look at the clients and care from the highest to lowest priority.
While performing delegation, I would assign client number 2, the 46-year-old female with full-thickness burns and client number 3, the 33-year-old male firefighter with a broken right femur, to the LPN. The two clients are the most medically stable, and their care needs do not immediately require the presence of an RN. For a patient whose condition is stable and predictable, and rapid change is not anticipated, the supervisor may provide supervision of the LPN without being physically present (LOGO, 2022). Client number 2 requires dressing changes as the task is not difficult, and the outcome is predictable. Client number 3 reports pain, most likely related to his surgical procedure. Decisions to delegate nursing tasks, functions, and activities are based on the needs of the clients, the stability of the client’s conditions, the complexity of the task, the predictability of the outcome, and the available resources to meet those needs and the judgment of the nurse.
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