RN Delegation and Nursing Practice In Tennessee
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1 RN Delegation and Nursing Practice In Tennessee Shelley Cohen MSN RN CEN 1 2 1
2 To function as a contributory member of the team representing TNA To understand the underpinnings of the TNA and how they contribute to nursing practice in Tennessee To develop an educational tool that t teaches the scope of delegation as it relates to Tennessee 3 RN Delegation The Project Identifying the need 4 2
3 RN Delegation The Survey Validating the need Survey Says 5 14 Questions 1,457 s sent 113 responses received 8% participation 6 3
4 7 RN Delegation The Response Development of online education tool 8 4
5 9 9 Survey Says When was the last time you reviewed the Tennessee Nurse Practice Act? < 1 year ago 46% > 1 year ago 49% Never 4% 10 5
6 Survey Says How would you estimate your understanding of Tennessee rules that relate to nursing delegation? Understand thoroughly 7% Understand d fairly well 51% Understand somewhat 36% Do not understand 6% 11 Survey Says Have you ever heard of the five Rights of Delegation? Yes 39% No 61% 12 6
7 Course Objectives Verbalize the five rights of delegation and provide examples of each that apply to your work setting List three examples of patient safety concerns that may result from inappropriate delegation Relate RN delegation to State of Tennessee Code outlined by Board of Nursing 13 Course Objectives The Five Rights of Delegation Right Task Right Circumstance Right Person Right Direction Right Supervision 14 7
8 Terminology Delegation Passing responsibility for an activity/task to another, without the accountability 15 Terminology Assign Shifting the responsibility of an activity or task from one person to another 16 8
9 Terminology Supervise Involves both assigning and delegating to another person Directing, guiding and influencing another person s performance 17 Annette and Richard are nurse aides on duty today at a skilled facility. Their RN Charge Nurse Roger has shared with them that two nurses called in sick. He suspects it will be several hours before any on call replacements arrive. Roger has asked Annette and Richard to use their judgment as to whether or not their assigned patients for discharge require his assistance
10 Wait a minute. It is the UAP that is supposed to be doing the assisting process! This is an example of inappropriate assignment of nursing judgment to an unlicensed person 19 Jennifer has worked as a nursing assistant for more than 10 years in this intensive care unit. The nursing staff have grown to trust her and have great regard for her work ethic and knowledge she has gained over the years. Tonight she is responding to the call bell of one of the patients, Mr. Tomlinson. Upon entering the patient s room, the family approaches Jennifer and states, Nurse, can you please tell us how our father is doing tonight? You happen to be entering the room as this takes place and hear Jennifer provide an update of this patient s condition to the family
11 What s wrong with this scenario? Did Jennifer clarify her role in that she was not the nurse? She is not qualified, nor is it her job, to update anyone on a patient s status or condition. 21 RN Delegation The Unexpected You didn t hear this from us
12 It is not the volume of staff that t impact results, it is integrity, commitment and transformational leadership that gets the job done! 23 Collaborate, Collaborate, Collaborate Nursing CE Portal LLC Audacity TNA CE Administrator TNA Computer Support 24 12
13 It s all about the Transfer of knowledge 25 TNA is proud to respond to the voices of more than 100 members who participated in the online delegation assessment survey TNA recognizes the impact ongoing change in health care delivery has on the Registered Nurse More than ever, it is essential for the RN to understand their role in the delegation process 26 13
14 27 RN Delegation and Nursing Practice In Tennessee Shelley Cohen MSN RN CEN 28 14
Delegation in Nursing Practice
Slide 1 www.tnaonline.org (615) 254-0350 Slide 2 Delegation in Nursing Practice Slide 3 Objectives Define the terms delegate, assign, and supervise Relate RN delegation to State of Tennessee Code as outlined
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