What is delegation in a healthcare context?

In the healthcare context, delegation refers to the process through which a registered nurse (RN) authorizes another individual, often a health care aide or an unlicensed personnel, to perform specific tasks or duties that fall within their scope of practice. This process is based on the RN’s assessment of the individual's competency and the requirements of the task. It is crucial that the RN retains accountability for the patient’s care while transferring the responsibility for the task.

Delegation involves clear communication about the tasks being assigned, ensuring that the delegated tasks align with the capabilities of the individual and the needs of the patient. This promotes efficiency in care delivery and optimizes the skill sets of the healthcare team while ensuring patient safety and quality care. Effective delegation also includes appropriate supervision and support, which is a key component that ensures tasks are carried out correctly.

In contrast to this, simply passing on responsibility without oversight does not ensure that the delegated tasks will be completed effectively or safely. Transferring tasks between RNs may not fall under the definition of delegation as it pertains to authorizing a non-RN to perform specific tasks. Allowing anyone to take over all functions disregards the need for proper training and authority, which can compromise patient safety and the integrity of care provided