NCLEX-PN

The 5 Rights of Delegation 1.​ Right Task : Before assigning a task to someone else, the nurse must ensure that it is appropriate to delegate the task based on the individual's qualifications. The nurse must assess if the person has the necessary skills and knowledge to safely and effectively complete the task while keeping the client's well-being as the top priority. 2.​ Right Circumstance : Before delegating a task to another, the nurse must assess the client's stability, ensuring that the client is stable enough for the task to be delegated and determine if the outcome of the task is predictable. In order to minimize situations of risk, it is also essential to understand the scope of the task and that the delegated nurse is equipped to handle it. 3.​ Right Person : The nurse must understand the knowledge and skills of the person to whom the task is being delegated and whether they are qualified and competent enough to handle the task. This includes advanced Registered Nurse Practitioners, Licensed Practical Nurses, and other unlicensed health care personnel. 4.​ Right Direction/Communication : The nurse must provide clear and specific instructions on accomplishing the task and handling any potential complications. It is important to establish clear communication between the delegating nurse and the person to whom the task is being delegated. This includes providing detailed instructions and expectations regarding the process and the outcomes and developing an approach to responding to unforeseen problems. 5.​ Right Supervision : The delegating nurse must also remain accountable and responsible for the task and the outcomes. The nurse must be available to supervise, assess, and evaluate the task process and the outcomes. The nurse must also remain accountable for the impacts, such as promoting safety, quality, and efficiency. The delegating nurse should establish a system of oversight and auditing for accountability and to ensure the task and client outcomes are monitored for progress and safety.

LPNS (Licensed Practical Nurses) It is within an LPN’s scope of practice to:

●​ Assist the RN by performing routine tasks with predictable outcomes ●​ Assist the RN with collecting data and monitoring client findings ●​ Reinforce an RN’s client teaching, but not perform independent client education or assessments

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