A number of principles that guide delegation are listed below. Which are correct for organization-al-related delegation?
a. documenting staff competence
b. monitoring policies and procedures
c. monitoring only the skill and competency of NAPs after a delegated task
d. allocating resources to ensure safe staffing
e. developing organizational policies on delegation
f. working with the State Board of Nursing as required
A, D, E
Delegation is guided by a number of principles that are nurse-related or organizational-related in nature. Examples of organizational-related principles that influence nursing delegation include: 1) documenting staff competence; 2) allocating resources to ensure safe staffing; and 3) developing organizational policies on delegation. Examples of specific nurse-related principles include: 1) monitoring policies and procedures; 2) delegating elements of care but not delegating the nursing process itself; 3) monitoring position descriptions for compliance with the State Nurse Practice Act; and 4) working with the State Board of Nursing as required. Monitoring the skill, education, and knowledge of NAPs (plus the stability of the patient) during a delegated task is a nursing responsibility and part of the delegation process.
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