chapter 9 | Delegation of Client Care 129References
American Association of Critical Care Nurses (AACN). (1990).
Delegation of Nursing and Non-Nursing Activities in Critical
Care: A Framework for Decision Making.Irvine, Calif.: AACN.
American Nurses Association (ANA). (1985). Code for Nurses.
Washington, DC: ANA.
American Nurses Association (ANA). (1996). Registered
Professional Nurses and Unlicensed Assistive Personnel.
Washington, DC: ANA.
American Nurses Association (ANA). (2002). Position Statements
on Registered Nurse Utilization of Unlicensed Assistive
Personnel.Washington, DC: ANA.
American Nurses Association (ANA). (2005). Principles for
Delegation.Washington, DC: ANA.
Boysen, R., & Fischer, C. (2000). Delegation/practice boundaries.
South Dakota State University College of Nursing. Retrieved
July 29, 2002, from learn.sdstate. edu/nursing/
DelegationModule2
Chevernet, M. (1988). STAT: Special Techniques in Assertiveness
Training for Women in Healthcare Professions,2nd ed.
St. Louis, Mo.: Mosby.
Ellis, J.R., & Hartley, C.L. (2004). Nursing in Today’s World.
Philadelphia: Lippincott, Williams & Wilkins.
Habel, M. (Winter 2001). Delegating nursing care to unlicensed
assistive personnel. Continuing Education for Florida Nurses,
39–54.
Hansten, R.I, & Jackson, M. (2004). Clinical Delegation Skills:
A Handbook for Professional Practice.Sudbury, Mass.:
Jones & Bartlett.
Hicks v. New York State Department of Health.(1991). 570 N.Y.S.
2d 395 (A.D. 3 Dept).
Huber, D., Blegan, M., & McCloskey, J. (1994). Use of nursing assis-
tants: Staff nurse opinions. Nursing Management,25(5), 64–68.
Keeney, S., Hasson, F., McKenna, H., & Gillen, P. (2005). Health
care assistants: The view of managers of health care
agencies on training and employment. Journal of Nursing
Management,13(1), 83–92.
Keeney, S., Hasson, F., & McKenna, H. (2005). Nurses’, midwives’,
and patients’ perceptions of trained health care assistants.
Journal of Advanced Nursing,50(4), 345–355.
Mahlmeister, L. (1999). Professional accountability and legal
liability for the team leader and charge nurse. Journal of
Obstetric, Gynecologic, and Neonatal Nursing,28, 300–309.
National Council of State Boards of Nursing. (1990). Concept
Paper on Delegation.Chicago: NCSBN.
National Council of State Boards of Nursing. (1995).
Delegation: Concepts and decision-making process.
Issues (December), 1–2.
National Council of State Boards of Nursing. (1997). Delegation
Decision-Making Grid. Chicago: NCSBN.
National Council of State Boards of Nursing. (2007). The five
rights of delegation. Retrieved November 30, 2008, from
http://www.ncsbn.org/Joint_statement.pdf
Nightingale, F. (1859). Notes on Nursing: What It Is and What It Is
Not.London: Harrison and Sons. (Reprint 1992. Philadelphia:
JB Lippincott.)
Tappen, R., Weiss, S.A., & Whitehead, D.K. (2004). Essentials of
Leadership and Management.Philadelphia: FA Davis.
Zimmerman, P.G. (1996). Delegating to assistive personnel.
Journal of Emergency Nursing,22, 206–212.on his team: two need to be readied for surgery, including preoperative and postoperative teaching,
one of whom is a 35-year-old woman scheduled for a modified radical mastectomy for the
treatment of breast cancer; three are second-day postoperative clients, two of whom require
extensive dressing changes, are receiving IV antibiotics, and need to be ambulated; one postopera-
tive client who is required to remain on total bedrest, has a nasogastric tube to suction as well as a
chest tube, is on total parenteral nutrition and lipids, needs a central venous catheter line dressing
change, has an IV, is taking multiple IV medications, and has a Foley catheter; one client who is
ready for discharge and needs discharge instruction; and one client who needs to be transferred to a
subacute unit, and a report must be given to the RN of that unit. Once the latter client is trans-
ferred and the other one is discharged, the emergency department will be sending two clients to the
unit for admission.
1.How should Julio organize his day? Set up an hourly schedule.
2.What type of client management approach should Julio consider in assigning staff appropriately?
3.If you were Julio, which clients and/or tasks would you assign to your staff? List all of them, and
explain your rationale.
4.Using the Delegation Decision-Making Grid, make staff and client assignments.