See how a school nurse handled delegation in Case Study 10-1.
See how a school nurse handled delegation in Case Study 10-1.
DELEGATION Lisa Ford is a school nurse for a suburban school district. She has responsibility for three school buildings, includ- ing a middle school, a high school, and a vocational rehabilitation workshop for mentally and physically handicapped secondary students. Her management re- sponsibilities include providing health services for 1,000 students, 60 faculty members, and 25 staff members, as well as supervising two unlicensed school health aides and three special education health aides. The logistics of managing multiple school sites results in the delegation of many daily health room tasks, including medication administration, to the school-based health aides.
Nancy Andrews is an unlicensed health aide at the middle school. This is her first year as a health aide and she has a limited background in health care. The nurse practice act in the state allows for the delega- tion of medication administration in the school setting. Lisa is responsible for training Nancy to safely adminis- ter medication to students, documenting the training, evaluating Nancy’s performance, and providing ongo- ing supervision. Part of Nancy’s training will also include a discussion of those medication-related decisions that must be made by a registered nurse.’