Downward or lateral transfer of both the responsibility and accountability of an activity
Assignment
from one individual to another.
Transfer of responsibility for a task to another staff member while retaining
Delegation
accountability for the outcome.
Can be delegated.
Responsibility An obligation to perform duties within one's scope; a 2-way process that is allocated
and accepted.
CANNOT be delegated.
Accountability An acceptance of ownership for results; requires critical thinking to determine if an
action is appropriate and giving an answer for what has occurred.
The right to act - power; both for the person delegating and the person accepting.
Authority
By transferring authority, empowers the person accepting the task to accomplish it.
Where do we get authority? CA Nurse Practice Act
Critical thinking skills.
What is needed for delegation? Assess the patient (stable, predictable outcomes!)
Assess the employee (has knowledge, skill, and time to complete task).
Provide clear, concise, accurate, and complete directions and expectations.
Build in authority and allow autonomy.
How do we delegate?
Communicate feeling of confidence.
Provide feedback promptly.
Accountable for:
Making decision to delegate.
Assessing patient's needs.
RN Accountability Planning desired outcome.
Assessing knowledge, skills, and competency of delegate.
Giving clear instructions and obtaining acceptance from the delegate.
Accountability CANNOT be delegated.
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