Patient management is an essential aspect of healthcare delivery that entails organizing and coordinating various medical activities to provide the best potential patient outcomes. Healthcare professionals such as physicians, nurses, pharmacists, and other allied health workers must work together efficiently to achieve this. Delegation is essential to patient management since it allows healthcare providers to delegate specific tasks and duties to other trained personnel to offer efficient and effective patient care. Delegation entails giving enough resources, support, and instruction to individuals tasked with completing the work successfully (Barrow & Sharma, 2022). Nurses, in particular, play an essential role in patient management and must be skilled at delegation. I analyzed my performance as a nurse in charge during the simulation by examining my responsibilities, decision-making abilities, strengths, and limitations. This paper will examine a nurse charge’s roles and responsibilities in patient management and delegation.

Roles and Responsibilities as a Nurse Charge

The primary task was to examine the acuity levels to determine the severity of the patient’s condition. This evaluation primarily relied on the patient’s clinical situation. Based on my assessment, I classified patients as having high, medium, or low acuity. Patients with high acuity had complex and urgent medical demands that necessitated regular monitoring, interventions, and additional resources. Those with medium acuity require constant medical monitoring, whereas patients with low acuity were clinically stable and showed no evidence of life-threatening illnesses (Juvé‐Udina et al., 2020). As a result, compared to individuals with high acuity, these patients may obtain therapy later. I worked with the healthcare team to establish appropriate care plans for each patient based on acuity level, ensuring that resources and staff were allocated effectively to deliver the best care possible.

My second responsibility involved managing the intervention process, which entailed matching patients’ needs with appropriate resources. I relied on a combination of acuity levels and the nurses’ experience level to do this. High-acuity patients required more experienced nurses, but I also had to balance the workload to avoid burnout. It was essential to ensure that nurses could handle the number of patients they cared for, as even a single high-acuity patient could be too demanding for a nurse intern. In my third role, I focused on supplementing the nursing staff by delegating tasks to other team members. This helped to relieve the workload and increase overall effectiveness.

The charge nurse manages patient care by assessing acuity, developing care plans, allocating resources and staff, coordinating interventions, balancing workload, and delegating tasks to other team members. The responsibilities of the charge nurse are critical in ensuring that patients receive the best possible care and that the nursing team is supported and able to fulfill their tasks efficiently.

Evaluating My Decisions in the Activity

During the simulation activity, I excelled at assessing patients’ acuity levels. My proficiency in case management provided me with a broader comprehension of the patient’s clinical condition. As a result, I could distinguish between life-threatening situations and those that could wait. This ability is paramount in prioritizing nursing activities and will be beneficial in my future role as a nurse in charge. I require additional expertise and hands-on experience in effectively connecting patients with appropriate resources. As such, I must review the delegation process. According to Crevacore et al. (2022), effective delegation involves ensuring that the individual receiving the task has adequate resources, support, and guidance to complete the task successfully. Delegation is essential for nurses who play a crucial role in patient management.

Application in Practice

The roles and responsibilities of the charge nurse in patient management and delegation apply to nurses in all healthcare settings. Nurses must be adept at assessing patients’ acuity levels, developing appropriate care plans, allocating resources and staff, coordinating interventions, balancing workload, and delegating tasks to other healthcare providers to ensure patient safety and optimize care results. Nursing delegation is a complex process that requires careful consideration of various factors, such as the task’s complexity, the delegated individual’s skills and qualifications, the patient’s condition and needs, and legal and ethical considerations (Barrow & Sharma, 2022). These are critical abilities that nurses must learn in order to manage patient c


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