What is delegation in nursing? Here, a registered nurse (RN) transfers responsibility to a person who is authorized to perform a specific task for the nurse.

Purpose of delegation in nursing: It gives the RN space to care for more critical patients and perform other necessary tasks.

However, with delegation, the RN is still RESPONSIBLE (accountable or responsible) for performing the delegated task, even though they are not the one performing the task. Therefore, responsibility is NOT transferred to the person performing the task.

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

This is where the RN must know when, how, and what tasks to delegate. Additionally, it is very important that the RN is always familiar with their facilities and state protocol (e.g. who can do what…e.g. some LPNs can give IV medications in some states if they have training, while other states do not allow it).

When delegating, it is important to follow the 5 rights of delegation:
Right job
Right circumstance
Right person
Correct direction/communication
Proper supervision

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