Leadership: Delegation Guidelines in Georgia - Patient Safety

This report provides a comprehensive overview of delegation guidelines in Georgia, focusing on the role of nurse managers in ensuring patient safety and quality care. It outlines the essential components of proper delegation, including the importance of a current nursing license, written documentation, and adequate training. The report also addresses the negative consequences of inappropriate delegation, such as compromised patient care and potential legal liabilities. It explores common barriers to effective delegation, such as poor partnerships and lack of confidence, and offers strategies for nurse managers to mitigate these challenges. Furthermore, the report details methods for reducing legal risks associated with delegation, including adherence to hospital policies, thorough documentation, and the establishment of clear goals and deadlines. The analysis is supported by relevant references and examples from nursing practice, offering practical insights for healthcare professionals seeking to enhance their leadership skills and promote patient safety.

Delegation Guidelines in
Georgia
Tessa Forde

Summary
The context of the delegation includes the assignment related
to the performance of the activities or the actions that are
related to the care of the patient for unlicensed assistive
personnel for the retention of the accountability for the
outcome
Outlines-
Having a current license regarding the practise as a registered
clinical nurse in Georgia (Baddar, Salem & Hakami, 2016).
Preparation of the document and the specified performances
to each of the medical act that is authorized by the protocol
of nursing
Written documentation that the clinical nurse has training,
preparation and orientation that are relative to each of the
medical act under the protocol.

Inappropriate Delegation
Improper and inappropriate delegation can
negatively or adversely affect the care for the
patient while also potentially exposing the
nurses towards the liability lawsuits or the
boards for the complains of the nursing
(McInnes et al., 2015). Inappropriate
delegation does not allow the nurses to do
whatever they have been educated and
instructed to do.

Barriers to Delegation
Poor partnerships - Lack of proper communication and
working together is one of the major factor of
delegation that needs to be addressed for god and
quality partnership and improved patient safety.
Lack of confidence – One of the major challenges and
factor of delegation that the nurse manager can face is
when the subordinated do not prefer to take
responsibility for the fear of not being able to perform
well (Burston & Tuckett, 2013).
Convenience - There has been multiple of cases where
the subordinate nurses preferred to be dependable on
their supervisor rather than summing any sort of
responsibility for the sake of the convenience.

Strategies to Reduce Legal Risks
Reporting the issues by following the hospital policy which
sets the standards of care. The nurse manager should
furthermore follow proper investigation for effectively
reducing the risk of being implicated for failure for
reporting a potential problem (Burston & Tuckett, 2013).
Documentation of the issues related to the reduction of the
legal risk included in the process of the delegation for
ensuring effective staff documentation.
Setting and tracking of the attainable goals and the
clarification of the roles and the tasks helps the nurse
manager to keep track of the progress of the goals and
the reasonable deadlines.

Reference
Baddar, F., Salem, O. A., & Hakami, A. A. (2016). Nurse Manager's Attitudes and
Preparedness towards Effective Delegation in Saudi Hospitals. Health Science
Journal, 10(2).
Beasley, G. M., Pappas, T. N., & Kirk, A. D. (2015). Procedure delegation by
attending surgeons performing concurrent operations in academic medical
centers: balancing safety and efficiency. Annals of surgery, 261(6), 1044-1045.
Burston, A. S., & Tuckett, A. G. (2013). Moral distress in nursing: contributing
factors, outcomes and interventions. Nursing ethics, 20(3), 312-324.
McInnes, S., Peters, K., Bonney, A., & Halcomb, E. (2015). An integrative review of
facilitators and barriers influencing collaboration and teamwork between
general practitioners and nurses working in general practice. Journal of
advanced nursing, 71(9), 1973-1985.

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