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The Joint Commission on
Accreditation of Health Care Organizations speaks specifically to the assignment
of responsibilities in the following manner:
When assigning each staff
member's responsibility for providing nursing care to the patients, the
registered nurse considers factors related to 1)the patient, 2) the environment
in which nursing care is provided, 3) the nursing staff member's
competence, and 4) the degree of supervision required by and available to each
nursing staff member assigned responsibility.
Assigning responsibility to
nursing staff members for providing nursing care to patients is based on
consideration of the following seven elements:
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the complexity of the
patient's condition and the required nursing care;
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the dynamics of the patient's
status, including the frequency with which the need for specific nursing
care changes.
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the complexity of the
assessment required by the patient, including the knowledge and skills
required of a nursing staff member in order effectively complete the
required assessment;
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the type of technology
employed in providing nursing care, with consideration given to the
knowledge and skill required to effectively use the technology;
-
the degree of supervision
required by each nursing staff member based on his/her previously assessed
level of competence in relation to the nursing care needs of the patient(s).
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The availability of
supervision appropriate to the assessed and current competence of the
nursing staff members(s);
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relevant infection control and
safety issues (for example, cardiopulmonary procedures (CPR).
From
the Accreditation
Manual for Hospitals, Joint Commission for Accreditation for Health Care
Organizations, July/August
1990, NC.2-NC2.1.22.2
Web sites: JCAHO
State
Board
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