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Nursing delegation in the school setting is the assignment by the school nurse – not a school administrator – to a competent unlicensed individual (also called unlicensed assistive personnel [UAP]) the performance of a selected nursing task in a selected situation for an individual student.
Learning Objectives. • Identify typical scope of practice of the RN, LPN/VN, and assistive personnel roles. • Identify tasks that can and cannot be delegated to members of the nursing team. • Describe the five rights of effective delegation.
- 2022
⦁ The licensed nurse cannot delegate nursing judgment or any activity that will involve nursing judgment or critical deci-sion making. ⦁ Nursing responsibilities are delegated by someone who has the authority to delegate. ⦁ The delegated responsibility is within the delegator’s scope of practice.
- Review of Literature
- Ethical Concepts in The Context of School Nursing
- Ethical Decision-Making
- Other Relevant Concepts
- Recommendations and Resources
- Conclusion
- Acknowledgement
- Author
To reflect the dual context of the school nurse role, both a healthcare and an education database were considered in the review of literature. PubMed OVID and the Education Resources Information Center (ERIC) were searched using the terms “school nurse” and “ethics. The total search yielded 21 articles published since 2003. Primary reasons for mora...
School nurses... have recently also crafted a specific code of ethics... During their nursing education, students internalize the values and ethics of the profession, and subsequently, as the registered nurse (RN) specializes, the values and ethics specific to the selected specialty. Nurses pledge to follow the code of ethics of the nursing profess...
Ethical decision-making is a process much like the steps in the scientific process—data collection, plan development, implementation and evaluation. There are many resources for ethical decision-making in the literature. In general, many ethical decision-making models follow a familiar, step-wise pattern: 1. Identify the ethical problem 2. Identify...
Moral Distress Jameton (1984) described three situations nurses can face: uncertainty, dilemma, and distress. Uncertainty means that the nurse is unsure if the situation is an ethical situation. Dilemma is when there are two equally unpleasant alternatives, such as, a patient’s decision to 1) either remain on life-support (e.g., a ventilator); or 2...
This section offers several recommendations for school nurses as they consider ethical dilemmas in practice. Table 4 lists additional resources that may be helpful. Note that a textbook dedicated to specific dilemmas in the context of school nursing is a potential need, although there is information in the NASN Code of Ethics (2016b) and on the NAS...
It is imperative that school nurses, and all professionals in the school environment, work together to meet ethical challenges that present in the school setting. Good health is essential to learning and school nurses are a vital resource to promote and maintain a student’s health. Navigating the roles of both educators and nurses, school nurses ha...
The author wants to acknowledge the assistance of these school nurse faculty who gave generously of their time and knowledge in the development of this article: Martha Dewey Bergren, Eileen Moss, Angela Lepkowski, Robin Adair Shannon, and Cathy Yonkaitis.
Teresa A. Savage, PhD, RN Email: tsavag2@uic.edu Teresa Savage is a Clinical Associate Professor in Women, Children, and Family Health Science at the University of Illinois at Chicago College of Nursing. Her clinical background includes neonatal intensive care and follow-up, and working with children with neurological conditions, including intellec...
The purpose of these guidelines is to: 1. Provide guidance for the school nurse to appropriately delegate tasks to an unlicensed individual, certified nursing assistant (CNA), or certified medication technician (CMT) when providing nursing services in the school setting.
Introduction. Health care is continuously changing and necessitates adjustment for evolving roles and responsibilities of licensed health care providers and assistive personnel. The abilities to delegate, assign and supervise are critical competencies for every RN.
Oct 1, 2013 · Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process.
