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Responsibility- Making sure you are competent to do a task, if you are not then do not do it. Ask to observe your mentor doing it. don't do anything you don't feel comfortable with.
Accountability- Making sure you do not do a task you don't feel competent to do. If you do it incorrectly you are accountable. But your mentor is also accountable for delegating the task to you.

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IM injection
responsible for using right R's of medication administration , consent
accountable if you use the wrong medication

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Responsibility- Making sure you complete the procedure effectively, following all policies and procedures (infection control ect.)
Accountability- Making sure your mentor is supervising you at all times throughout the task. you are accountable, but so are they as they have delegated the task to you.

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Intra muscular injections- accountable of ensuring it is done correctly we follow correct infection control procedure to ensure the safety of our patients and ourselves. We have not had the opportunity to carry out this task or witness out mentor or other staff carry out one either therefore would not feel confident to give an IM injection

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Task 2- IM injection
Realisation that you are responsible for your actions. This means you should take responsibility and make sure your mentor knows that you do not feel competent to preform the task. If you do preform the task accepting the fact your are accountable for what happens.

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Personal care- we are responsible to make sure that the patient is wash properly, during the task, we are accountable to report all unexplained bruises, using the right tools, making sure that the curtain is close in regards to the patient dignity.

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- responsible for
*using the correct equipment
* gaining consent
working as the care plan advises
- held accountable for
-maintaining a patients dignity during the activity.
- adhering to the training the you have received
-documentation

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1- Task-able to give an enema to a patient and able to give record with confident.
2- Manual Blood Pressure
RES= be able to do the manual blood pressure accurately in order to get an accurate NEWS score.
ACC= do it under my mentor supervision as well as let my mentor double check if I have got the right measurement
3- Put a cannula
RES= To know if you are able to do a cannula or not as well as inform your mentor that you are not able to do it
ACC- To inform mentor I have not been trained to undertake the procedure safely.

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Task 1-

Weighing a baby, responsibility is to make sure the baby is safe on the scales and that is weighed accurately. Accountable for anything that goes wrong also to get someone to double check.

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Manual blood pressure, due to be in community we have not had lots of opportunities to carry out this task although we are able to do it the more practice we will have the more confident we will become with the task. We are accountable for obtaining the correct information and documenting in the correct way and if we are unsure of results we get to check with out mentor or another member of staff so not to just make up a number. We are accountable of alerting another member of staff if we believe the blood pressure is abnormal.

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Personal care

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Responsibility
Adhere to infection control for patient safety.
Adhere to health and safety at work act.

Accountability
to the patient to reduce risk to their health and safety
to the employer to follow health and safety guidelines to reduce risk to self and others
to the profession to uphold standards

Task 2: Dispensing Medication under supervision

Responsibility
Responsible for giving the correct medication, the correct dose,  to the correct patient at the correct time, in the correct way and to document correctly.
To follow practice guidelines.
Responsible for working within your limitations.

Accountability
to the patient for their health and wellbeing
to yourself, for you own actions
to your employer for following guidelines, policies and procedures
to the NMC for safeguarding patients

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Head to inspection of a baby
Accountable for child’s health signs and symptoms of illness disformaty. To pick out any safeguarding issues that may be present on a child’s body. It is our reposnisbilty to responds and alert to the correct individuals such as safeguarding leads, our mentors, and out placement link tutor.

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Responsibility- Making sure you complete the task effectively & follow policies and procedures, 6R's.
Accountability- Making sure your mentor is there to supervise you. The task & responsibility has been delegated to you so you are accountable, but so is your mentor, as they are accountable for you.

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1. Bed Making
Accountibility: to know and understand the rationale behind changing the bed linen, use the local trust policy, maintain clean environment
Responsibility: to minimise infection control and patient discomfort with pressure sores and maintain patient safety

2. IM Injections
Accountability: TRAMP,
Responsibility: Patient consent and awareness, personal training to be competent with delivering IM injections

3: NG Tube - Insertion/Removal

Accountability: causing unnecessary harm and discomfort
Responsibility: to say you cannot carry out the task

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1.  removing cannula
accountability - patient ensure as pain free as possible and they do not bleed unecessarily, check if they are on blood thinners,  are they finished all IV therapies employer follow correct trust specific policy and procedure, profession nmc guidelines evidence based practice, responsibility to ensure that you are working within the scope of your own competency, gain patient consent.
2. sub cut injection
accountability, decisions you make and regarding what you do so asking for help so observe first then do an injection. gain patient consent, ask mentor or supervising nurse to observe and coach.  responsibility to patient, your own learning and practice.
3. catheterisation
acountability- patient employer and profession
patient consent and they understand the procedure and are comfortable with you carrying out the procedure. employer mentor gives consent for you to carry out procedure, profession working within nmc guidelines. responsibility to ensure you are confident and competent.local trust policy.

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“From your first day as a student nurse and throughout your career as a registered nurse you are accountable for what you do and what you fail to do.”

In small groups of 3, discuss the following:

You mentor ask you to carry out a task,

1. Choose a task you are fully competent to do and discuss your accountability and responsibility.

2. Choose a task you should be able to do but don’t feel confident and competent to do, and discuss your accountability and responsibility

3. Choose a task you don’t feel you can do and discuss your accountability and responsibility.