Delegation and Supervision Principles
Effective delegation assigns tasks appropriately while retaining accountability. Nurses apply the rights of delegation to ensure safe care.
Practice Delegation Principles with PassMate AI →Key Points to Know
What you must know about Delegation Principles
The five rights of delegation: right task, right circumstance, right person, right direction/communication, and right supervision.
The nurse who delegates remains accountable for the overall outcome of care.
Only tasks within the delegatee’s competence and scope should be delegated.
Complex assessment, teaching, and clinical judgement should not be delegated to unlicensed staff.
Provide clear instructions and appropriate supervision when delegating.
Delegation improves efficiency but must never compromise patient safety.
NMCN Exam Tips
How this topic appears in the NMCN exam
The delegating nurse retains accountability for the outcome.
Never delegate assessment, teaching, or clinical judgement to unlicensed staff.
Know the five rights of delegation.
Delegate only tasks within the person’s competence and scope.
Practice Question
Test yourself
When a registered nurse delegates a task to a nursing assistant, who remains accountable for ensuring the task is completed safely?
Explanation
Although the nursing assistant is responsible for performing the delegated task, the registered nurse who delegates remains accountable for the appropriateness of the delegation and the overall outcome of care, including adequate supervision.
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