Delegation in Practice Essay.

Delegation in Practice Essay.


Assignment Description Delegation in Practice 1. What does your State Board of Nursing (State of Virginia) say about Unlicensed Assistive Personnel and their role, and the role of the Registered Nurse? 2. Describe the responsibilities of the Registered Nurse when delegating patient care tasks. 3. How does the ICU environment differ from a general medical-surgical unit as far as assigned responsibilities for Unlicensed Assistive Personnel? Assignment Expectations: Length: 750 to 1000 words Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion. References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Please include at least one reference in addition to the textbook.Delegation in Practice Essay.


Delegation is the process of transferring the authority to a competent person to perform a chosen nursing activity while maintaining accountability for the outcomes. During delegation, the delegating nurse allows the delegate to carry out a certain nursing procedure, skill, or activity that is beyond delegatee’s the traditional role of the delegatee and a t that the delagatee do not regularly perform (Ulrich, 2018).  The paper discusses delegation of nursing tasks by unlicensed assistive personnel (UAP) by registered nurses.Delegation in Practice Essay.

What my State e Board of Nursing (State of Virginia) say about Unlicensed Assistive Personnel and their role, and the role of the Registered Nurse

Health care is continually changing and so are the responsibilities of assistive personnel and licensed health care providers, including registered nurses.  The number of registered nurses might be limited in some institutions or regions necessitation extension of care beyond the traditional assignments and roles of UAP and registered nurses. When there is the need to delegate some aspects of nursing care beyond the traditional assignments and role of the care provider, it is very important that the process of delegation and the nurse practice act which is enforced by the state-specific board of nursing be clearly understood to ensure delegation is effectively and effectively undertaken(NCSBN, 2016).Delegation in Practice Essay.

Virginia law defines an unlicensed person who has appropriate training,   irrespective of title, who is compensated and functions in an assistive or complementary role to RN in performing common nursing procedures and tasks or delivering direct patient care. The individual is accountable and responsible for the completion of these procedures and tasks. With the exemption of certified nurse aide, this does not consist of any individual who has received certification or licensure from a health regulatory board and practicing within his or her accepted practice scope (DLAS, 2020a).Delegation in Practice Essay.

Generally, appropriate delegation permits for the changeover of responsibility in a consistent manager. According to Virginia law, the delegating nurse should make a judgment that procedure or task can be safely and properly carried out by the unlicensed individual, without delegation endangering client’s welfare, safety, and health. The RN maintains accountability and responsibility for nursing care of the patient, entailing assessment, supervision, planning, and documentation (DLAS, 2020b).  Additionally, the delegating nurse must ensure the delegated procedures and tasks are within his/ her skills, knowledge, and area of responsibility. The delegating nurse should notify the client of the unlicensed person  by requiring the unlicensed person to wear  a name tag when providing patient care (DLAS, 2020b).Delegation in Practice Essay.

The responsibilities of the Registered Nurse when delegating patient care tasks

When delegating specific nursing tasks to the UAP, the RN  is accountable and responsible for the transferring authority to the UAP to perform these and for supervising the UAP.    According to AWHONN (2016), being responsible means being liable for inactions and actions of others or self in the delegation context. Supervision means providing direction or guidance along with follow-up by the RN  for the performance of the delegated task.  When a registered nurse wants to delegate, he/ she should consider the likely impacts and outcomes of delegation on the well-being of the patient. The registered should assess the following factors before delegating tasks: the complexity of the task, potential for harm, critical thinking, and problem-solving needed, level of interaction between the patient and the caregiver, unpredictability of outcome, and the practice setting.Delegation in Practice Essay.

How the ICU environment differ from a general medical-surgical unit as far as assigned responsibilities for Unlicensed Assistive Personnel

The patient is the center of care and the patient’s needs should be competently met with the abilities, skills, and knowledge of the nurses to meet these needs. This means that the nurse delegating aspects of care to UAP must balance patient’s needs with the abilities of UAP. The needs of clients in the medical-surgical unit are relatively predictable wile patient needs in the ICU environment are unpredictable because of the changing status of the patient.  As such, the needs of patients in the ICU environment need high levels of professional skill and judgment.  According to AWHONN (2016), it is inappropriate to delegate tasks that require specialized skill, competence, judgment, and knowledge.   In addition, assessment and valuation of interventions impact care should not be delegated. In the medical-surgical unit, RNs can delegate tasks that do not necessitate nursing assistive personnel to have high levels of skills and judgment such as assisting patients with daily living activities such as dressing, bathing, and ambulation, measuring and recording weight, height, and vital signs, observation, and reporting of alterations in and the present status of the client’s condition and response to care.Delegation in Practice Essay.


Delegation by registered nurses to UAP involves registered nurses transferring the authority to competent UAP to carry out a certain nursing activity in a certain situation.  When a RN gives authority to UAP to perform specific nursing tasks, the RN remains accountable and responsible for the care that the client receives.   Thus, the establishment and execution of care plans, evaluation of interventions on outcomes, and proper delegation and supervision of activities are responsibilities of the registered nurse.Delegation in Practice Essay.