Week 4 Delegation Case Study
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- Due Sunday by 11:59pm
- Points 60
- Submitting a file upload
Case study from Beauvais, A. M. (2019). Leadership and management competence in nursing practice. Springer. (p. 145)
As you read the case scenario, in a 1-2 page paper, reflect on the following questions:
- What obstacles or pitfalls do you think contributed to James’ lack of success?
- Do you think James over delegated ? under delegated? and/or improperly delegated?
- Did James follow the five delegation principles? If not, which one(s) did he omit?
- What could or should James have done differently?
- Review your state’s Nurse Practice Act.
James has been a nurse for 4 years now. He works 3 p.m. to 11:30 p.m. on a very busy 32-bed medical-surgical unit. Census is 32; however, there were eight discharges during the day shift and eight new admissions have been steadily arriving to the floor mostly around the change of shift.
Week 4 Delegation Case Study
Staff morale and the sense of teamwork are low with co-worker’s upset with each other when the admission history, medication, reconciliation, and plan of care are not completely done prior to leaving the shift.
Four patients have gone for procedures early in the evening and were stable but required frequent vital signs. James has asked the two UAP (unlicensed assistive personnel) to take vital signs on the patients. He also asked a transporter to bring in a cup of medication for Mr. Smith because he was on isolation and the transporter was already going in the room.
At the end of the shift, upon reviewing the vital signs to give report to the oncoming nurse, he noticed just one set of vital signs were taken for each patient instead of q1 hour as ordered. Upon final rounding for the evening, he also noticed that Mr. Smith’s cup of medications was on his bedside and not taken.
In addition, these patients were nothing by mouth (NPO) prior to the diagnostic tests and both patients and families are upset because they never received dinner and the kitchen is now closed. James is upset. APA