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Congress Press office RCN magazines archive. Our structure Our history Our influencing work Transforming to meet the future of nursing. Diversity and inclusion Work for us Working with us. Accountability and delegation Information on accountability and delegation for all members of the nursing team. This page is currently under review. Please see Accountability - The Nursing and Midwifery Council and Delegation - The Nursing and Midwifery Council The principles of accountability and delegation are relevant to all members of the nursing team.
Accountability Health service providers are accountable to the criminal and civil courts to make sure their activities meet legal requirements. Accountability and delegation Accountability and delegation Accountability and delegation in practice Accountability and delegation case studies. To be accountable, practitioners must: have the ability to perform the activity or intervention accept responsibility for doing the activity have the authority to perform the activity, through delegation and the policies and protocols of the organisation.
Delegation Registered nurses have a duty of care and a legal liability to their patients. It says they must: only delegate tasks and duties that are within the other person's competence make sure that everyone they delegate tasks to is adequately supervised and supported confirm that the outcome of any task they have delegated to someone else meets the required standard.
A guide for the nursing team An RCN guide to accountability and delegation in the workplace for the nursing team. Download the guide. RCN membership If you provide health or social care under the guidance and supervision of a registered nurse, midwife or health visitor and are not on a professional register you could be eligible to join the RCN. Join the RCN. Accountability and delegation.
In this section Accountability and delegation case studies. Accountability and delegation in practice. The concepts of responsibility, accountability and autonomy are intrinsically linked in determining the scope of nursing and midwifery practice. Nurses and midwives hold positions of responsibility and are, therefore, expected to be accountable for their practice.
Responsibility and accountability are the cornerstones of professional nursing and midwifery practice, and are represented as a key principle in the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives. Responsibility is explained as the obligation to perform duties, tasks or roles using sound professional judgement and being answerable for the decisions made in doing this. A nurse or midwife who is considering expanding their scope of practice should realise that this will involve greater responsibility.
A nurse or a midwife should be able to give reasons for the decisions they make in their professional practice and should justify their decisions in the context of legislation, professional standards and guidelines, evidence-based practice and professional and ethical conduct. Nurses and midwives are accountable both legally and professionally for their practice, that is, for the decisions they make and the consequences of those decisions.
Nurses and midwives are accountable to the patient, the public, their regulatory body, their employer and any relevant supervisory authority. Legal accountability involves nurses and midwives being responsible for ensuring they have appropriate professional indemnity insurance, as patients have a right to expect them to hold this insurance in case there is a substantiated claim of professional negligence.
Accountability cannot be achieved unless the nurse or midwife has autonomy to practise.
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