Delegation is transferring a task to another person on the healthcare team. It's like a relay race where you hand over a 'baton' (task) but remain responsible for the outcome. Delegation should only be done for stable patients with expected outcomes. Avoid delegating tasks for newly admitted patients, those with changed assessments, or dramatic events. The acronym E.A.T. (Evaluate, Assess, Teach) signifies tasks that should not be delegated, as these require the RN's direct involvement. While the RN handles the initial E.A.T., an LPN/LVN can perform reassessments, reteaching, and reinforce education.
To ensure appropriate delegation, remember the "Rights of Delegation," which stands for: Task, Circumstance, Person, Communication, and Supervision. Right Task: The activity being delegated, e.g., taking vitals. Right Circumstance: Ensuring the patient's health status is stable and the case complexity allows for delegation. Right Person: Assigning the task to someone (CNA, LPN, RN) whose scope of practice aligns with the delegated task. Right Communication: Providing clear instructions for the task. Right Supervision: Overseeing the task completion and providing feedback.
A crucial aspect of delegation is understanding the scope of practice for RNs, LPNs/LVNs, and CNAs. A chart is provided in the video's notes to illustrate common tasks and who is appropriate to perform them. It is important to check state regulations and facility policies, as the scope of practice can vary.