The Delegation Decision Tree, which was prepared and adopted by ANA and NCSBN, has specific steps. Identify the steps in this Decision Tree. (Select all that apply.)
a. Monitoring
b. Surveillance and supervision
c. Readback and response
d. Assessment and planning
e. Evaluation
f. Communication
B, D, E, F
There are four steps to the ANA and NCSBN Delegation Decision Tree. They are in order as follows:
Step 1: Assessment and planning.
Step 2: Communication: Must be a two-way process involving the nurse who assesses the nursing assistive personnel's understanding of the delegated task and the nursing assistive person who asks questions regarding the delegation and seeks clarification of expectations if needed.
Step 3: Surveillance and supervision: The purpose of surveillance and monitoring is related to nurse's responsibility for patient care within the context of a patient population. The nurse su-pervises the delegation by monitoring the performance of the task or function and assures com-pliance with standards of practice, policies, and procedures. Frequency, level, and nature of monitoring vary with needs of patient and experience of assistant.
Step 4: Evaluation and feedback: Evaluation is often the forgotten step in delegation and should include a determination if the delegation was successful and discussion of parameters to deter-mine the effectiveness of the delegation. (ANA & NCSBN, 2006, pp. 7-9)
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