Assignment on Delegation of Duties to the Experienced Enrolled Nurse

Running head: ASSESSMENT 2
ASSESSMENT 2
Name of the Student:
Name of the University:
Author Note:

ASSESSMENT 21
Part A: Delegation of Duties
This part of the assignment will be aiming for making proper decisions while delegating
the nursing practices to other healthcare practitioners of the team from a registered nurse’s
perspective.
Delegation of Duties to the Experienced Enrolled Nurse:
Firstly, the experienced enrolled nurse should be assigned to supervise the whole patient
care process during the night shift (Ahpra.gov.au, 2020). I will expect the nursing staff to attend
all the seven patients on an hourly basis and ensure that their requirements are being addressed. I
will also delegate him/her with the responsibility of other two members of the team and make
decisions in case of an emergency. I will also assign the experienced enrolled nurse to carry out
one of the 2 observational studies on the patients like Dorothy, Joshua, Isabel, Peter and Mary.
Those patients require 4 observations within 24 hours. During the night shift, there is only
requirement of making two observations, one of which will be expected to be performed by the
enrolled nurse, as per my delegation plan. As a registered nurse, I will assign the EN with the
responsibility of the patient Joe Black especially. The patient is 65 years old and have multiple
conditions such as bladder cancer, CA bowel and COPD. The patient is in requirement of a
palliative care. The EN must monitor him personally and attend to all of his needs at the earliest
opportunity in order to promote the practice of patient safety. The nursing staff will also be
expected to administer medications during emergencies.
The rationale behind choosing the EN as the supervisor of the night shift was that an EN
has a higher authority than the other members of the team, who were an assistant nurse and a
student registered nurse. The nursing staff was also experienced and thus he or she can be
expected to have proper knowledge to carry out these tasks. The reason behind assigning the EN
with the responsibility of Joe Black is that he can be considered as one of the most critical
patients. I assigned the best nursing professional with his responsibilities in order to provide him
the best care possible.
The role of an EN is to perform the duties like supervision, proper monitoring of the
patient conditions, handling various medication administration processes along with helping the

ASSESSMENT 22
patients with their various physical and mental conditions (Dalton, Gee & Levett-Jones, 2015).
The EN has the responsibility of delivering the best patient care possible as a supervisor. He or
she is responsible for all the actions taken by the assistant nurse and the student registered nurse
during the night shift. The EN should also read all the files of the patients and stay updated about
the patient conditions, so she would be able to make quick decisions during an emergency. The
decisions must be error free in order to ensure the patient safety.
Delegation of Duties to the Experienced Assistant in Nursing:
I will delegate the duties related to the direct patient care to the experienced assistant
nurse. Those duties include the timely administration of medications to all the patients, helping
the patients with disabilities and mobility issues, carrying out the direct diagnostic assessments
along with monitoring the patients. As a registered nurse I will assign the assistant in nursing
(AIN) to help the EN to carry out the observational tasks. The patients such as Dorothy, Joshua,
Isabel, Peter and Mary are in need of two-time observations during the whole night shift. The
AIN will be assigned to carry out one of the observational duty as I have already assigned the EN
to carry out the second observation on those patients. I will also assign the AIN with the duty of
monitoring the other patients as well, such as Ruben and Joe. I will ask the AIN to help the
patients like Dorothy, Isobel, Ruben Joe and Marie with their mobility in case of need. Dorothy
and Joe require the assistance of about 2 people when attempting to move. The AIN must seek
the assistance of either the student registered nurse or the EN in order to help her in that task. I
will also assign the AIN with the responsibility of Esobel specifically, who is suffering from
anxiety, depression and hypertension. The patient is 68 years old and thus there is a possibility
that she will be rather restless during her sleep. I will expect the enrolled nurse to make an
effective communication with her and perform a mental counseling on her in order to make her
feel better. The AIN will also be responsible for various post-operative and pre-operative care
along with the wound care in the patients like Dorothy, Ruben, Peter and Mary. The nursing staff
will also be assigned with monitor the patients with catheters and cannula.
The rationale behind choosing the AIN for these duties are that the nursing staff is
experienced and she can be expected to have proper knowledge on the medication administration
process, monitoring the patient conditions along with being directly involved in the patient care.
The direct involvement in patient care includes the approaches like medication administration,