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Table 3 Task delegation and shifting in practice based on our ward observations

From: Exploring the space for task shifting to support nursing on neonatal wards in Kenyan public hospitals

Category of delegation Task areas
Tasks that can never be delegated to someone other than a qualified professional Ordering supplies and equipment from the stores and pharmacy
Resuscitation of babies
Final assessment of nursing students to qualify as nurses
Referral of babies from one hospital to an often-higher care hospital
Delegated to student nurses undertaking clinical training attachments Weighing babies
Taking vital signs observations
Giving intravenous fluids
Filling the nursing Kardex (a summary of individual patient needs used by nurses to communicate important information on their patient and often updated at every shift change).
Giving treatments—either oral, intra-muscular or intravenous
Delegated to mothers Cup and NGT (naso-gastric tube) feeding of babies
Filling amounts of milk fed to babies on feeding chart
Top tailing (cleaning baby from head to toe)
Delegated to support staffa Dusting and cleaning incubators
Cup and NGT (naso-gastric tube) feeding of babies
Top tailing (cleaning baby from head to toe)
Tasks sometimes done/left undone Education
Emotional support
  1. aLong-term casual employees often sub-contracted by the hospital to primarily provide cleaning services within the hospital although they are also often used to run errands within the different departments in the hospital