Whenever a nurse delegates, he or she must also supervise. Supervision is defined as “the provision of guidance and direction, oversight, evaluation, and follow up by the licensed nurse for accomplishment of a nursing task delegated to nursing assistive personnel.”
Nursing assistants who are unprepared to complete a task should say so when asked and can then decline to perform the duty. In such situation, the RN would determine:
1- Whether to allocate time to train the personnel and review the skill as is learned;
2- Delegate the task to another competent person;
3- Do it herself / himself;
4- Make arrangements for later skill training.