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- It is the position of the National Association of School Nurses (NASN) that, when necessary and permitted by law, the registered professional school nurse (hereinafter referred to as school nurse) can implement safe and effective delegation of nursing tasks to unlicensed assistive personnel, (UAP) at school.
eric.ed.gov/?id=ED600919Nursing Delegation in the School Setting. Position Statement
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Aug 3, 2020 · It is inherent upon the school nurse as an RN to supervise the delegatee to ensure that the delegated healthcare task is performed accurately and consistently. This means that it is the school nurse’s responsibility to closely monitor the delivery of care by the delegatee.
- Delegation - National Association of School Nurses - NASN
Nursing delegation in the school setting is the assignment...
- Delegation - National Association of School Nurses - NASN
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.
Yes. Teaching may be part of the delegation process, but it is not equivalent to delegating. For example, a nurse educator with the appropriate knowledge, skill, and judgement may teach a group of nurses how to adjust a pacemaker.
Nursing tasks can be delegated. But components of the critical thinking process of the school nurse, known as the nursing process (e.g., doing a nursing assessment, making a judgment based on the assessment findings) cannot be delegated.2-6 How the school nurse delegates a nursing task:
- Need For Delegation in The School Setting
- Factors Necessary For Safe and Effective Delegation
- Benefits of Delegation in The School Setting
- Challenges in Delegation
- Implications of Delegation For School Nursing Practice
- Conclusion
- Author
The need for delegation of nursing tasks in the school setting is greater today than ever before due to the following factors identified by NASN (2006a), NASSNC (2000), and Spriggle (2009). 1. unfunded mandates, such as health screenings and immunization reporting, that pull the school nurse away from direct care; 2. shortage of qualified nursing s...
...delegation is not appropriate for all students, all nursing tasks, and/or all school settings. In order to provide safe healthcare in the school setting, school nurses need to understand the legal parameters, e.g. their state Nurse Practice Acts, rules, and regulations; along with clinical parameters, such as the standards of practice and profes...
The literature provides support for the contribution UAPs make in schools when there is adequate training and supervision for the UAP (Hanson, Randolfi, & Olson-Johnson, 2002; Selekman, 2006). Many school nurses, too, believe that UAPs can meet important student healthcare needs provided their role is clearly defined and within the scope of the ind...
As noted above, delegation may be a solution in situations when there are less than the optimal number of school nurses available and/or growing numbers of students with healthcare needs as long as adequate training is provided for UAPs. One of the delegation challenges is to provide this needed training. This training should include an understandi...
The implications of appropriate delegation of nursing tasks for school nurses center around four major themes: development of school policies, competence in the five rights of delegation, education, and building relationships.Each of these themes will be discussed below. Development of Policies School nurses need to work with their administrators, ...
Safe delegation is critical for the provision of safe, effective, and efficient health services in school settings. To ensure safe delegation practices, it is essential that RNs, other healthcare professionals, administrators, parents, and the public understand the various roles that the school nurses and UAPs play. Delegation can be a valuable too...
Cheryl Resha, EdD, MSN, RN E-mail: reshac1@southernct.edu Dr. Cheryl Resha is currently Director for the Child Nutrition and School Health Programs at the Connecticut State Department of Education. She is also an adjunct faculty member at the University of Hartford, Division of Nursing. Dr. Resha began her career as a pediatric nurse at the Childre...
⦁ 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.
Delegation is not appropriate for all students, all nursing tasks, or all school nurse practices. The American Nurses Association (2005) does not support nurses delegating steps in the nursing process, including nursing assessment or the use of nursing judgment (ANA/NCBSN, 2006).
