A registered nurse (RN) wants to delegate the insertion of an anchored catheter to a member of the unlicensed assistive personnel (UAP) staff. The RN bases the decision to delegate on which of the following?
1. The RN decides who is competent to perform the catheterization based on the state's nurse practice act.
2. The RN determines who has the most time to insert the catheter.
3. The RN relinquishes the accountability for the outcome of the procedure to the UAP.
4. The RN recognizes there is no need to evaluate the outcome of the procedure performed by the UAP.
The RN decides who is competent to perform the catheterization based on the state's nurse practice act.
Rationale: The state's nurse practice act authorizes the scope of responsibility and grants the authority to delegate based on the competency and qualification of the person who is receiving the delegation. The time involved in the procedure is not a valid criterion for delegation; delegation is based on competency, qualifications, job descriptions, and state nurse practice acts. The RN retains the authority and accountability for the outcome of the worker's performance. The RN must know how to supervise the personnel to whom he/she delegates and must intervene when necessary.
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