Delegation, Supervision and Support
Accept and delegate appropriate work with clear instructions and review.
How to prepare for the NMC Nursing Associate CBT
Combine unit-safe calculation with newly qualified nursing associate judgement across all ages and settings, grounded in the Code, scope, person-centred care, teamwork and escalation.
Core concepts
Concept 1
Delegation depends on person, task, context, competence and supervision.
Exam cue: Match task risk to verified competence.
Concept 2
The delegator remains accountable for the delegation decision and follow-up.
Exam cue: Specify limits and reporting triggers.
Risk pitfalls and guardrails
Accepting work beyond competence.
Guardrail: Do not choose a familiar task if it ignores deterioration, consent, scope, communication or follow-up.
Failing to review delegated care.
Guardrail: Do not choose a familiar task if it ignores deterioration, consent, scope, communication or follow-up.
Memory anchors
What should be checked before delegation?
Task, person, competence, context and supervision.
When should a task be declined?
When competence, direction or supervision is unsafe.
What makes an instruction safe?
Clear outcome, limits, timing and escalation triggers.
Who is accountable after delegation?
Each person for their actions; the delegator for the decision and review.
What completes delegation?
Evaluation and confirmation of the outcome.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A nursing associate delegates oral care to a support worker. What must happen first?
After delegating a task, what remains the nursing associate's responsibility?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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