This week you are to read the chapter 'Delegating Successfully' The following case study will challenge you to apply the appropriate delegation...
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This week you are to read the chapter "Delegating Successfully" The

following case study will challenge you to apply the appropriate delegation tools. Read the following case study and think about what you learned. Use a separate word document, to answer the three questions following the case study, support your answers using the textbook, other resources and your experience. James works at a large teaching hospital in a major metropolitan area. This institution services the entire geographical region, including indigent clients, and because of its renowned reputation, administers care to international clients and individuals who reside in other states. The staff is also limited with less RN's and more patient care tech and nurses aids. The acuity of these clients has been quite high, requiring a great deal of time from the nursing staff. James arrived at work at 6:30 am, his usual time. He looked at the census board and discovered that the unit was filled, and bed control was calling all night to have clients discharged or transferred to make room for several clients who had been in the ED since the previous evening. He also discovered that the other RN assigned to this unit called in sick. His team consists of himself, two patient care techs, and an LPN who is shared by two teams. He has eight clients on his team:3 clients need to be ready for surgery, including pre-op and post-op teaching,1 of which is a 35 year old woman scheduled for a modified radical mastectomy for the treatment of invasive breast cancer; 3 clients are second day post-ops requiring IV antibiotics, dressing changes, NG suctioning, chest tubes, TPN and lipids, central line dressing changes, Foleys, and ambulation; 1 client needs transferred to the rehab unit with report called prior to the transfer and finally, 1 client is to be discharged home and requires discharge teaching on insulin and dressing changes. 1. Thinking of the five rights of delegation how should James delegate the work to be done? 2. Which is a priority and why? 3. What type of client management approach should James consider in assigning the work needing to be done to staff members? * Use citations to support your rationale for each answer.

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