Module 9: Discussion Board #5
After the required reading:
Recall an assignment or delegation event made by a nurse manager or charge nurse where you have clinical experience. Describe the situation and be prepared to answer and discuss the following questions with your group members: Were the delegated tasks clear/ Why or why not? Were delegation decisions logical? Why or why not? From what you know about your nurse practice act and professional standards, did the assignments make sense legally and ethically? What is your rationale? Please reference discussion postings utilizing APA format.
| Required Content | Points Allocated |
| Introduction | 0.5 |
| Describe a situation revolving delegation. | 1 |
| Where the delegated tasks clear? Why or why not? | 1 |
| Where the delegated decisions logical? Why or why not? | 1 |
| Where the delegated tasks legal and ethical? Include rationale. | 1 |
| Conclusion | 0.5 |
| 3 Peer Replies | 3 |
| APA formatting including intext citations and references. | 2 |
### Module 9: Discussion Board #5
#### Introduction
In a recent clinical experience, I encountered a delegation event led by a charge nurse where the assignment of tasks raised several considerations regarding clarity, logic, and ethical-legal compliance.
#### Describe a Delegation Situation
During a busy shift in the medical-surgical unit, the charge nurse delegated the task of monitoring vital signs and reporting any abnormalities to the nursing assistants. This included checking vital signs every 4 hours for stable patients and hourly for unstable patients.
#### Were the Delegated Tasks Clear?
The delegated tasks were reasonably clear in terms of what needed to be done (monitoring vital signs) and the frequency required (every 4 hours for stable patients, hourly for unstable patients). However, the charge nurse could have been more explicit about the criteria for identifying stable versus unstable patients, which led to some ambiguity.
#### Were Delegation Decisions Logical?
The delegation decisions seemed logical in the context of the workload and patient acuity. Monitoring vital signs is a routine nursing task suitable for delegation to nursing assistants under supervision. However, the clarity on patient stability criteria would have strengthened the logical aspect of the delegation.
#### Were the Delegated Tasks Legal and Ethical?
From the perspective of the nurse practice act and professional standards, the delegation appeared legally and ethically sound. The nurse practice act in our state allows delegation of tasks that nursing assistants are competent to perform under appropriate supervision. Monitoring vital signs aligns with these guidelines as long as the parameters and supervision are clearly defined.
#### Conclusion
Delegation in nursing requires clarity, logical decision-making, and adherence to legal and ethical standards to ensure patient safety and efficient care delivery.
### References
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). American Nurses Association.
### Peer Replies
1. **Peer Reply 1**: [Content of the peer’s response here, including APA citation and reference].
2. **Peer Reply 2**: [Content of the peer’s response here, including APA citation and reference].
3. **Peer Reply 3**: [Content of the peer’s response here, including APA citation and reference].
References
American Nurses Association. (2015). *Nursing: Scope and standards of practice* (3rd ed.). American Nurses Association.
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