This article explores the concept of accountability and delegation in nursing, focusing on the importance of these concepts in providing effective care. It discusses the responsibilities of registered nurses, enrolled nurses, and assistants in nursing in a busy vascular surgical ward. The article also highlights key findings from studies on delegation and accountability, and provides strategies for improving teamwork, person-centered care, evidence-based practice, and effective communication in nursing. Overall, the article emphasizes the significance of delegation and accountability in enhancing patient outcomes.