Nursing Delegation And Negligence Report

Running Head: Nursing
NURSING DELEGATION AND NEGLIGENCE
Name of the Student
Name of the University
Authors Note

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NURSING DELEGATION AND NEGLIGENCE
Part A
Introduction
The assignment focuses on delegation of nursing task and distribution of roles and
responsibilities of different team members in a nursing team for bedside handover from the
night shift. Assignment focuses on delegation and distribution of the responsibilities among
the Enrolled Nurse, Student Nurse and Assistant in Nursing in night shift. The rationale of
delegation of responsibility by Registered Nurses will be discussed.
Discussion
Delegation of Nursing Tasks and Rationale
As a Registered Nurse, I need to distribute the duties of different patients among the
nursing professionals in night asper their experiences and efficiencies toexecute the
responsibilities.
Delegation of tasks in the Enrolled Nurses
Every patient should execute their responsibility and duties for serving different
patient. Enrolled nurses can work as a supervisor in a ward. As a registered nurse, I will
assign Enrolled Nurse for super vision. I will plan her/him duties accordingly so that EN can
visit every patient with adequate time. Depending upon the patients’ condition I will assign
EN to direct supervision of more critical patients such as Joe Black,who is patient of cancer
and is under palliative care. He needs daily observation and artificial apparatus for feeding.
Other patients require 4 times observations in a day. However, EN should attend each of
them at least for three times and EN should supervise the other team members with proper
guidance and help. Administration of medicines and addition and removal of the cannula
should be supervised by EN. For Dorothy, Open Wound diagnosis and medications should be
checked by EN. More specifically,Biosafety Level needs should be checked by the EN as her
report states that Intra-venous cannulation attempt is failedfor the patient. Therefore the
patient needs more experienced and competent professionals to take care of the
administration of medication andBSL needs checking. In case of Joshua, shortness of
breathing has been observed. Therefore, peak flow and incentive spirometry should be

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NURSING DELEGATION AND NEGLIGENCE
regularly checked by the nurses and EN should monitor the process. Ruben is also a cancer
patient so that he should be monitored in a regular interval of time. EN must administer
medicines to him if any emergency situation arrives(Forough et al., 2018). Marrie Rosie who
is suffering from diverticulitis and bowel resection should be monitored with care and safety
as she has post operational wounds.
I would assign EN as the supervisor of all the other team members as only EN can
administer medicines, have the decision making authority and manage a team of different
nursing professionals in the absence of the Registered Nurses in a room. An EN can serve in
different domains such as “professional and collaborative care”, “provision of care” and
“reflective and analytical practices”(www.nursingmidwiferyboard.gov.au, 2020). However
theEN will work under the indirect supervision of mine so that I can check the documentation
and ask the patients about his or her services in Night shift.
According to the Standardof Practicesfor the Enrolled Nurses support the patients
with the references of Decision-making framework, nursing practice summary guide, nursing
practicedecision flowchart and code of conducts of
nurses(www.nursingmidwiferyboard.gov.au, 2020). The Enrolled Nurses should follow the
Standards for Practice by NMBA. The ENs can help Registered Nurses with proper
documentation of nursing details and communication between nurse and patient. Most
importantly ENs have theknowledge and understanding of laws, legislations and workplace
policies.
Delegation of tasks to the Assistant in Nursing
I would delegate the responsibilities of the Assistants in Nursing for helping enrolled
nurse and to attend patients in regular interval of time (Pradhan, Weech-Maldonado, Gupta,
&Dayama,2017). Most of the patients need four times visits in 24 hours so nurses have to
visit the patient at least for two times in night shift. Elderly patients like Dorothy, Isobel, Joe
Black and Marie Rossi should be helped by the AIN mainly along with EN and SRN.
Assistant in Nursing will help in the observation and taking care of wounds in the patients for
example;Marie Rossi, Ruben and Dorothy. AIN will help the patients by cleaning wounds for
pre or post operation condition. AIN will assist EN while taking care of Joe Black as he is in
palliative care. Catheter care, hygiene of cannula, implementation of naso-gastric tube and
spirometer should be assessed by the AIN. An AIN can administer the prescribed medication
when it is needed (Rausch, 2016). He/ She can help the EN in documentation and provision