Delgation Case Study Nvt Essay

Submitted By buckeye618
Words: 1247
Pages: 5

Delegation Case Study As the nursing supervisor, it is my job to assist the family nurse practitioner to provide quality care that is safe and meets the needs of the individual patient. Giving quality care to a diverse environment is of upmost importance. Encouraging the use of available outlets in the multidisciplinary team seems to be top priority in this instance. As nurses we sometimes think we can save the world on our own, but healthcare is so much more complex then we think and shouldering all the responsibility on ourselves can quickly lead to burnout. The nursing supervisor needs to make it a point that the family nurse practitioner (FNP) should be comfortable to delegate and share responsibility with other members of the team that are available. This increases the likely hood that the needs of the client will be met. Once the needs of Ms. R are determined, I could provide guidance and input on protocol for the FNP to delegate the patient care tasks to other members of the multidisciplinary team. Once the qualified staff members are delegated the appropriate tasks, the FNP will be able to focus on the well being of other patients and have a lighter workload. Delegation increases the safety and quality of Ms. R’s care. The right time to delegate these tasks is usually after the initial examine where needs are determined but can also be delegated throughout her care as the needs of the client may change. The FNP could then delegate the needs of the patient she determined would greatly benefit from someone else who is qualified on the multidisciplinary team. The FNP does not delegate the nursing process. To appropriately assign tasks, the FNP will use judgment that is professional along with critical thinking skills while following the Five Rights of Delegation. The Five Rights of Delegation are: the right task, the right circumstance, the right person, right direction/communication and the right supervision/evaluation (American Nurses Association [ANA] & national Council of State Boards of Nursing [NCSBN], 2005). The FNP is still held responsible for all the care the patient is receiving by an assigned member of the multidisciplinary team. The first thing I find most important to deal with right now is getting Ms. R to show up for her appointments. Instead of assuming she is not complying with attending appointments, the FNP should ask her about transportation. She might be having an issue making it the appointment and is embarrassed to say anything. If she is developmentally disabled, it could very well be that she does not hold a driver’s license. Referring her to the social worker to work on these issues would be appropriate. The social worker could also help find groups and other resources she could turn to if the FNP is worried about her having help with the baby once she delivers. The social worker, without any encouragement, could also speak with Ms. R about options such as adoption. If Ms. R has no family in her life and is developmentally disabled, she may not even know that there are other options out there, especially if she herself feels she will not be able to raise the baby alone. The LVN could be used to help Ms. R prepare for the babies arrival by educating her on labor and delivery, the importance of good prenatal care, what to expect once she brings the baby home and birth control options for after delivery. How to feed, bath and change diapers as well as teach her how to recognize signs of postpartum depression and when to call for help. The LVN can also educate Ms. R on signs of impending labor, how to time contractions and when to call the OB/GYN. She should also provide her with the on call obstetricians phone number and make sure that she knows it can be dialed 24 hours a day, not only during office hours. The nutritionist could help Ms. R plan healthy meals on a fixed budget that will provide her with nutrients she needs to have a healthy pregnancy. She needs to make sure that Ms. R