Delegation individual who doesn’t otherwise have authorization” OAC

 

 

 

 

 

 

Delegation
by Licensed Nurses

Cassandra
Lawson

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Chamberlain
College of Nursing

NR-103:
Transition into Professional Nursing

January
2018

 

Delegation
by Licensed Nurses

Delegation
in nursing is one of the most important things for smooth operation and correct
care of the patients. In this article it goes over rules and regulations made
by the Ohio administrative code and the Ohio revised code. It will also go over
the importance of

delegating
and consequences from not delegating properly. The authority of delegation is
not given to everyone you must be authorized to make certain decisions.

Independent study

 The RN maintains an independent area of
practice where they are accountable for the quality of the care from the nurses
to the patients. This also includes the accountability in delegation of nursing
care activities to the nursing assistants.  “It is incumbent upon the registered nurse to
apprise him or herself of the law and the rules related to the delegation of
nursing tasks” (Lanier and Morris p.20). Delegation is an essential element of
nursing and will continue to be.

Laws
and rules

Delegation
in law is in the Ohio revised code 4723: nurses, section 4723.01(B)(6). The
rules clarify the expectations. Delegation is recognized as an independent
function within the scope of practice. The RN is responsible for teaching,
supervising, administering, evaluating and delegating the nurse’s practices.
The OBN defines the “transfer of responsibility for the performance of the
selected nursing task from licensed nurse authorized to perform the task to an individual
who doesn’t otherwise have authorization” OAC 4723-13-0(B).

Delegation
is also a tool for nurses to organize a plan for the day, it determines how
things get done. While delegating you must make sure the person you are
delegating to is someone you trust, is qualified, and familiar with the patient
and or the task. You need to have an expertise to the patient needs. Also
remember you can only delegate within your scope of practice. Delegating is
working as a team. It’s critical component to the 21st nurse. In the
case that you delegate task to someone and an unfortunate event happens you can
be legally held accountable for the actions. Because of this you need to be
able to answer these questions: why did you believe the task was delegable? Why
did the patient qualify for the care component to be delegated? And why did you
believe that the unlicensed person was right for the job.

Prohibitions

            Ohio law prohibits any unlicensed
person from passing responsibility for performance delegated task onto another
person. For example, the delegation of medication administration is limited to
specific medications or specific settings. 
There is also a law and rule to this located OAC 4723-13-06.  The rules go over that medication
administration is limited to specific medications or a specific setting. You
can find this law in OAC 4723-13-05. As a licensed nurse you are allowed to
delegate the administration of over the counter topical cream, only on intact
skin to better improve the condition. The licensed nurse is also allowed to
delegate over the counter eye, ear, and suppository medication, foot and soak
treatments along with foot soaks. While performing these tasks there needs to
be proper application and procedures followed thoroughly. 

           

Criteria
and standards for delegating to trained unlicensed persons

When
delegating to and unlicensed person you must be sure that they are right for
the job and that the person is qualified for the job. Before that you as a
nurse to make sure that the task is delegable. Also, when delegating you must
try to have minimal risk that could happen while unlicensed person is executing
the task. The national council of state boards are had five rights when it
comes to delegation. 1. Right task (right for patient) 2. Right circumstances
(appropriate setting, circumstances) 3. Right person (Legally able to perform
task) 4. Right direction (Clear, concise direction) 5. Right supervision
(Assist with problem and concerns).

Conclusion

Delegating in the nursing profession is
extremely important it can mean life or death for a patient. Delegating
properly helps everything have a smooth operation. There are many rules, laws
and regulations to make sure delegation is used properly and to protect the
patients along with yourself. You must be professional and certain in all your
decisions. It would be most beneficial to you as a nurse or unlicensed person
to know the laws and regulations when it comes to delegation and the nursing
profession.

References

Lanier, J, JD, RN & Morris, K, RN
(June2017). Delegation by Licensed Nurses.