The Nurse Practice Act defines the delegation process as authorizing an unlicensed person to provide nursing services while maintaining responsibility for how the unlicensed person performs the task. It does not include situations in which an unlicensed person directly assists an RN by performing nursing duties in the presence of an RN (Texas Board of Nursing). The nurse must consider patient safety as a priority while assigning the task to the unlicensed LPN/nursing assistant. The five rights of delegation, namely the right task, the right person, the right circumstances, the right direction and communication by RN, and the right supervision by RN, can help guide the registered nurse in assigning care of the patient to LNP and UNP. The registered nurse must also, according to rule §224.8 Delegation of Duties, the rule states “(5) personal hygiene and elimination, including vaginal douches and cleansing enemas,” this task may be assigned to the UAP. The nurse was administering morning medications to one of the patients, when the other assigned patient needed help walking to the commode next to the bed for elimination. The nurse instructed the UNP to help the patient with the comfortable commode next to the bed. Before assigning the task, the nurse communicated with the UAP about the patient's surgical history, the patient's physical strength, and safety precautions when caring for the client. Once the task was completed by the UNP, the nurse assessed the safety of the patients and the patient bed and provided positive feedback to the nurses. Nurses are always exposed to situations or often interact with others where their values or beliefs may contradict those of others. Conflict can often lead to discomfort and increase stress in the work environment, however, if managed appropriately, it can promote growth and understanding among staff. An example of conflict observed in the unit 18 tower of Chi St Luke's hospital is as follows. Staffing and scheduling are the number one conflict management faces on a regular basis. A nurse on the unit was upset about her schedule for the next week. According to the nurse she had asked to be free for that day, however she was still scheduled to work that particular day. She discussed the situation with the nurse manager, however the nurse manager responded that the time period for requesting leave was too short and that the schedule had been established prior to the request. However, the nurse said she informed the director of her unavailability for that specific day. The nurse manager explained the policy to the nurse and recommended that the nurse communicate with other nurses who must be willing to change the schedule for a particular day. The nurse communicated with the other nurses about her situation and asked for a work favor for that particular day. One of the nurses
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