Leadership and Management

Registered Nurses hold expanded leadership responsibilities including charge nurse functions, delegation oversight, and team coordination across multiple patient assignments. The Five Rights of Delegation guide RN decision-making: right task, right circumstance, right person, right directions and communication, and right supervision and evaluation. The nurse retains full accountability for all delegated tasks and must match patient acuity to staff competency when making assignments. Prioritization frameworks such as ABCs (airway, breathing, circulation) and Maslow's hierarchy of needs provide structured approaches to clinical decision-making and time management during complex patient care scenarios.