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Summary: Key Issues To Consider When Delegation In Nursing

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This discussion post uses a critical thinking exercise from our textbook. It involves three characters. The charge nurse, Sherry, a recently hired nurse, James, and nursing assistive personnel (NAP), Julie. The scenario involves a 78-year-old female who is scheduled to undergo a radical mastectomy. James, the primary nurse, is to prep the patient for surgery. However, James has never prepped a patient for this type of surgery, and the scenario is complicated further because the patient cannot speak.
Key Issues to Consider When Delegating an Assignment
Delegation in nursing is defined as the process of a nurse to direct another person to perform nursing tasks and activities (Huber, 2014). There are several key issues to consider when delegating a task. Is there potential for harm? How complex is the task? How much problem solving and innovation is required? Will the patient’s outcome be unpredictable? What is the level of interaction of the patient (Huber, 2014)? The five rights of delegation must also be considered. Right task, right circumstance, right person, right direction/communication, and right supervision, evaluation (Huber, 2014). …show more content…

She does this by saying the forms are no different than any other surgery. James is conflicted because he feels like he should not be responsible for prepping the patient for surgery. James is experiencing intrapersonal conflict. Intrapersonal conflict is defined as discord, tension, or stress inside that results from unmet needs, expectations, or goals (Huber,

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