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for surgery and procedures and before the doctor's round so that we can

see the big picture of patients’ progress before they leave the unit and to

make sure they are stable for their procedures.” Or, “I think I should have

assigned another RN to Ms. Apple. I had no idea that your mother

recently died of breast cancer.”

4. The delegatee should be asked for ideas on how to resolve the issue.

“What are your thoughts on how you could order your work to get the

vital signs on the EMR before 8:30 am?” Or, “What would you like to do

with your work plan for tomorrow? Should we change Ms. Apple's team?”

5. A course of action and plan for the future should be agreed upon. “That

sounds great. Practice use of the handheld computers today before you

leave, and that should resolve the issue. When we work together

tomorrow, let me know whether that resolves the time issue for recording;

if not, we will go to another plan.” Or, “If you still feel that you want to

stay with this assignment tomorrow after you’ve slept on it, we will keep

it as is. If not, please let me know first thing tomorrow morning when you

awaken so we can change all the assignments before the staff arrive.”

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