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Delegation criteria

Nursing Practice Act
Permits delegation
Authorizes task(s) to be delegated or authorizes the nurse to decide delegation
Delegator qualificationsWithin scope of authority to delegate

      1. Appropriate education, skills and experience
      2. Documented/demonstrated evidence of current competency
    1. Delegatee qualifications
      1. Appropriate education, training, skills and experience
      2. Documented/demonstrated evidence of current competency

Provided that this foundation is in place, the licensed nurse may enter the continuous process of delegation decision-making.

  1. Assess the situation
    1. Identify the needs of the patient, consulting the plan of care
    2. Consider the circumstances/setting
    3. Assure the availability of adequate resources, including supervision

If patient needs, circumstances, and available resources (including supervisor and delegatee) indicate patient safety will be maintained with delegated care, proceed to III.

  1. Plan for the specific task(s) to be delegated
    1. Specify the nature of each task and the knowledge and skills required to perform it
    2. Require documentation or demonstration of current competence by the delegatee for each task
    3. Determine the implications for the patient, other patients, and significant others

If the nature of the task, competence of the delegatee, and patient implications indicate patient safety will be maintained with delegated care, proceed to IV.

  1. Assure appropriate accountability
    1. As delegator, accept accountability for performance of the task(s)
    2. Verify that delegatee accepts the delegation and the accountability for carrying out the task correctly

If delegator and delegatee accept the accountability for their respective roles in the delegated patient care, proceed to V.

  1. Supervise performance of the task
    1. Provide directions and clear expectations of how the task(s) is to be performed
    2. Monitor performance of the task(s) to assure compliance to established standards of practice, policies and procedures
    3. Intervene if necessary
    4. Ensure appropriate documentation of the task(s)
  1. Evaluate the entire delegation process
    1. Evaluate the patient
    2. Evaluate the performance of the task(s)
    3. Obtain and provide feedback
  1. Reassess and adjust the overall plan of care as needed
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