Statement
of Problem
The practice of nursing is dynamic. It is continuously
evolving in response to the changing needs, demands, and resources
of our society. Clarifying the responsibilities of the licensed
nurse (registered nurse and licensed practical nurse) is sometimes
a challenge for nurses and for their employers.
Accepting, Rejecting and Delegating a Work Assignment:
A Guide for Nurses addresses the questions and concerns of Massachusetts
nurses regarding decision-making related to work assignments and
the delegation of nursing acts. The Guide was developed collaboratively
by the Task force on Accepting and /or Rejecting an Assignment
and the Congress on Nursing Practice and modeled after the document
prepared by the Maryland State Nurses Association.
The guide for nurses is based on
the premise that each nurse is responsible and accountable
for making decisions
and for practicing in accordance with the Nurse Practice Act
(NPA) regulations, and with the nurse’s educational background,
competencies, and experience. Although the Guide is not legally
binding, it is consistent with nursing practices set forth
in
the NPA.
The Guide contains a brief review of Massachusetts
Regulations (definitions are in the glossary) concerning nursing
practice standards, and the delegation of nursing acts. Citations
to specific sections of the NPA are given where appropriate. A
glossary is provided for the reader. Readers are encouraged to
refer to the glossary as needed in using the Guide.
Main
Page
| Purpose
and Statement of Problem | Legal Considerations
| Responsibilities
Application of the Guide for Decision-Making
| Glossary (BORN definitions) | References
Approved , MNA Congress On Nursing Practice 7/02
Approved, MNA Board of Directors 7/02
© MNA, 2002
