Hallmark Assignment: Final Project Study Plan

Lessons in this plan

1. 1 Case Overview: Wrongful Delegation and Patient Harm Summarize the wrongful delegation case, including the dislodged G-tube, the RN’s delegation to the CNA, and the resulting peritonitis, hospitalization, and patient harm. 20 min
2. 2 The Five Rights of Delegation: Core Framework Identify and define the Five Rights of Delegation—right task, right circumstance, right person, right communication, and right supervision—as the organizing framework for analyzing the case. 30 min
3. 3 Right Person and Scope of Practice Explain why assigning G-tube reinsertion to a CNA violated the right person principle and scope-of-practice limits for invasive procedures and tube checks. 25 min
4. 4 Right Task and Nursing Judgment Differentiate tasks that may be delegated from tasks requiring professional nursing judgment, using tube reinsertion and patient observation in this case as examples. 25 min
5. 5 Right Circumstance: Patient Stability, Risk, and Complexity Assess how patient instability, feeding intolerance history, and procedure risk made this delegation unsafe under the right circumstance principle. 20 min
6. 6 Right Communication with Staff and Family Analyze the communication failures between the RN, CNA, patient, and family, and describe what complete, timely instructions and updates should have included. 20 min
7. 7 Right Supervision and Outcome Prevention Describe the RN’s responsibilities for guidance, reassessment, confirmation of tube placement, and follow-up monitoring to prevent premature feeding and complications. 20 min
8. 8 Final Project Application: Building a Case Analysis Create a structured final project outline that applies all Five Rights to the case, links each violation to the patient outcome, and supports conclusions with details from the concept map. 35 min