Respond to each post with a minimum of 220 words each. Give educational insights

Respond to each post with a minimum of 220 words each. Give educational insights and feedback related to the topic. POST#1
Delegating tasks to unlicensed personnel is a thin line and should be walked very carefully. Nursing school iterates and reiterates the importance of properly delegating tasks according to the scope of practice. Far too often over delegation and under delegation occurs increasing the risk of negligence on part of the RN for over delegation and burn out for under delegation. Delegation generally involves assignment of the performance of activities or tasks related to patient care to unlicensed assistive personnel while retaining accountability for the outcome (nursingworld.org). In essence, nurses are responsible for delegating tasks that does not involve nursing judgement. Nurses undergo intense schooling to gain the knowledge needed to execute the best action possible in medical scenarios. Nursing judgement is the culmination of education, experience, and insight that allows nurses to execute the best action possible on behalf of patients (Tantillo & DeSantis 2019). Unlicensed personnel should not perform the duty of the Registered Nurse related to lack of schooling and skill set to perform duty.
Nurses are often overworked in the skilled nursing facility. The nurse-to-patient ratio is approximately 1 to 25. Caring for this number of patients can often lead to nurses seeking the assistance of the certified nursing assistant to render medication to the patient while feeding. While this may seem like an uncomplicated task, the patient deserves to have signs and symptoms and possible adverse reactions explained to them. Monitoring the patient for these occurrences is also the responsibility of the Registered Nurse. Unlicensed personnel is practicing outside of his/her scope by performing this task.
Under delegation allows unlicensed personnel to shriek out on his/her responsibility while increasing the risk for the RN to burn out. Personally speaking, I am guilty of this action. I asked a nursing assistant to get an EKG on a patient while I was helping another patient. When I finished the task I was performing, my other patient was still had not received test. The nursing assistant stated she was about to perform it. I performed the task myself because I did not feel like hassling with the nursing assistant. By the end of the day, was exhausted because I had performed my duties and the duties of the unlicensed personnel.
Refusal of an assignment is just that. It is an excuse rendered to avoid performing the duties that are clearly defined in job description. For example, not emptying foley bags at the end of shift because the other unlicensed personnel does not perform this action. In the instance of refusal, upper management should be notified. Over delegating places RN at risk for losing license and this practice should be avoided. Under delegation, the most popular requires practice and guts to avoid. POST#2
Delegation is the transfer of roles for the completion of a task from one person to another while retaining responsibility for the results. Delegation in the healthcare sector ensures that healthcare workers practice what they have been educated to make the right judgments about patients. Delegation should have the right communication and direction, right supervision, right circumstance, and tasks to be delegated (“National Council of State Boards of Nursing,” 2016). Over delegation is a misuse of delegation where one transfers most if not all roles required to be completed by workers. It leaves the leader with minimal control of the activities taking place and at times workers may lack proper guidance or skills to complete the tasks assigned. As a result, they perform poorly. An example of over-delegation is: Would you write the patient records of all patients in the ward and make the presentation to the manager? I will not be at the hospital for three days. When over-delegation happens, I would ask the employee to have a plan in advance that helps him or her to complete some of the urgent tasks before taking a break from work. It will ensure that urgent and critical tasks are handled on time and also only a few tasks will be offered to other workers. Under delegation occurs when one offers fewer tasks to workers and ends up being overwhelmed with duties. It can lead to delay in the completion of tasks as one relies on oneself to complete the tasks rather than focusing on the division of labor which can be helpful in such instances. An example of under-delegation: I do not trust any other employee with these tasks. I feel that I am the only one that can manage to do them as expected without errors. I want to avoid taking time to review the quality of tasks by other people. I would ask the employee to group the tasks based on complexity (Campbel et al., 2020). Afterward, the worker should take up the complex tasks that may need more expertise and reassign all other tasks to ensure he or she does not complete all the tasks alone.
Refusal to accept an assignment of legitimate delegation is linked to giving excuses when one is assigned a task. An example would be: I have never understood how to complete this work. Please give it to Anne as she does her best and will complete it fast. In this case, I would offer guidance to the worker on how to complete the task or ask an experienced employee such as Anne to train the worker. After the training, I would expect the worker to complete the task.