Delegation nursing review for the NCLEX exam.

What is delegation in nursing? It’s where a licensed nurse (RN) transfers responsibility to a person, who is competent, to perform a certain task for the nurse.

Purpose of delegation in nursing: It frees up the RN to care for more critical patients and complete other necessary tasks.

However, in delegation the RN is still ACCOUNTABLE (liable or responsible) for that delegated task getting done even though they are not the one doing it. Therefore, accountability is NOT transferred to that person performing the task.

It's important to remember not all tasks can be delegated to other nursing staff such as the LPN/LVN or UAP (nursing assistant). This is because some tasks are only within the RN’s scope of practice to perform.

This is where the RN should know when, how, and what tasks should be delegated. In addition, it's very important the RN is always familiar with their facilities and state's protocol (ex: who can do what...ex: some LPN can give IV medications in some states if they have training, while other states don't allow it).

When delegating it is important to follow the 5 Rights of Delegation:
Right Task
Right Circumstance
Right Person
Right Direction/Communication
Right Supervision

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