In Georgia, the guidelines and principles of delegation require that a registered nurse takes responsibility and accountability for the provision of the nursing practice. The registered nurse may delegate the tasks and some elements of care but does not delegate the nursing process. It is the responsibility of the registered nurse to consider the policies and procedures of the agency as well as the level of knowledge, skills, and experience of any person to whom the RN can delegate the elements of care. However, the guidelines require that the decision to delegate is based on the judgment of the RN concerning the complexity of the patient, the kind of intensity of the supervision needed and the competency of the person accepting the delegation (Yoon, Kim & Shin, 2016). The nurse leaders are made accountable for the establishment of the system to assess and verify the competence requirements concerning delegation.
One of the strategies to reduce the risks of delegation is to ensure that the person accepting delegation has the knowledge, skills, and experience needed to undertake the activity to be delegated. Using the checklist, the nurse manager has to ascertain that the person is qualified and that the activity is within the job description of the healthcare assistant (Tompkins, 2016). In this case, the risks of error are minimized, and legal liability reduced. Another strategy is to ascertain that the person accepting the delegation has the authority to perform the duty because it is within their job description and is supported by the policies and protocols. Only people who have been authorized to take place in nursing care can receive duty delegation. The third way is to ensure that delegation is done according to the stated guidelines and principles of the state. For example, the nurse leader has to consider whether it is in the best interest of the patient to delegate, whether the risks are minimal and whether the person accepting delegation have the required knowledge and skills to perform the task.
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References
Yoon, J., Kim, M., & Shin, J. (2016). Confidence in delegation and leadership of registered nurses in long ‐ term ‐ care hospitals. Journal of nursing management , 24 (5), 676-685.
Tompkins, F. (2016). Delegation in correctional nursing practice. Journal of Correctional Health Care , 22 (3), 218-224.
