Five Rights of Delegation
Delegating a task to the wrong person doesn't just fail the patient — it makes YOU legally liable. The Five Rights framework is your decision tree before every handoff.
Core Concept
The Five Rights of Delegation is the structured framework the RN uses BEFORE handing off any task. They are: Right Task (is this task appropriate to delegate — stable, routine, predictable outcome?), Right Circumstance (is the patient's current condition stable enough that the task won't require clinical judgment mid-execution?), Right Person (does the delegatee have the legal scope, training, and demonstrated competency for this specific task?), Right Directions/Communication (have you given clear, specific, measurable instructions — what to do, when to report back, and what findings are abnormal?), and Right Supervision/Evaluation (can you provide appropriate oversight and evaluate the outcome?). These five checkpoints must ALL be met — if any single right fails, delegation is inappropriate. The RN retains accountability for the delegation decision itself, even when the task is performed by someone else. This means the RN is answerable for choosing to delegate, not just for the outcome. Delegation is not the same as assignment: delegation transfers a task that is within the RN's own scope to someone who wouldn't independently own that task, while assignment distributes tasks already within each team member's scope.
Watch Out For
Don't confuse delegation with assignment — delegation transfers authority for a task outside the delegatee's independent scope, while assignment distributes tasks within each person's existing scope. Students often think accountability transfers with the task; it does not — the RN keeps accountability for the decision to delegate. Right Supervision belongs in this framework as a pre-delegation checkpoint, not just an after-the-fact activity.
Clinical Pearl
Think 'TCPDS' — Task, Circumstance, Person, Directions, Supervision. If you can't check all five boxes before you hand it off, you don't hand it off.
Test Your Knowledge
3 quick questions — see how well you understood Five Rights of Delegation