Capsule on practice.
Knowledge of the abilities and limits of the provider partners goes beyond their individual skill set or knowledge base. Registered nurses must also be aware of legislative and agency limits on those providers' ability to care for patients. Rather than liberally or entirely assign or delegate care to those providers, the registered nurse must assess the appropriateness of such a choice depending on the condition and needs of the patient. The registered nurse is responsible for those choices as well as any direct care given by self.
While any other care provider is responsible and accountable for his or her actions toward a patient, the registered nurse remains responsible for monitoring the progress of care and to change the care plan or skill mix of providers as necessary to prevent harm and to achieve desired outcomes. (Supervision does not include direct observation except where, for instance, the RN is teaching someone a particular technique or task, or is a formal supervisor or manager.) The care delivery model (to be discussed in another article) affects how this is accomplished and how much direct contact with a particular patient the RN has, or under what conditions. Employers have an important role to play in assuring that the RN has the authority to plan and to deliver care with available resources, and to respond to changing patient conditions.
By the staff of the Practice and Policy Department
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|Title Annotation:||nursing care|
|Date:||Mar 22, 2007|
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