This report examines the critical concepts of accountability and delegation within a nursing context, specifically focusing on a vascular surgical ward. It begins with an introduction to the core principles of accountability and delegation, emphasizing the responsibilities of Registered Nurses (RNs), Enrolled Nurses (ENs), and Assistants in Nursing (AINs). The main body provides a summary of critical evaluations, key findings from relevant studies, and proposed strategies for enhancing teamwork, patient-centered care, evidence-based practice, and effective communication to improve delegation and patient outcomes. The report highlights the importance of considering ENs' skills and experience when delegating tasks. The findings emphasize the importance of delegation for nurses, highlighting its benefits for patient care while acknowledging the complexities of delegation. The report concludes with a discussion of the strategies proposed for the case study, including teamwork, person-centered care, evidence-based practice, and effective communication, and their potential to improve delegation practices in the vascular surgical ward.