Ruth Hansten

New Online Course for CEUs

This on-demand online 3-part course will help you develop your nursing teamwork where it matters the most, at the point of care delivery. At the end of the full course you will know how to:

  1. Utilize the skills and competencies of assistants and technicians safely,
  2. Delegate and supervise the work done by others, using the 5 Rights,
  3. Make assignments effectively, and
  4. Evaluate and improve the care model and processes you are using each day to deliver care.

Designed for nurses, students, educators, and nurse leaders, each of the 3 sections includes:

  1. Approximately 1 hour of video webinar instruction
  2. The complete slide deck
  3. 30 minutes or more of coursework, handouts, and exercises
  4. Practical application to the learner's point of care
  5. Short video clips to emphasize important points
  6. A test to gauge the student's grasp of objectives
  7. A CE certificate from Hansten Healthcare as approved by the Oregon's Nurses Association CE department.

Hansten Healthcare PLLC's 3-part educational series for staff RNs, educators, and administrative leaders in nursing is designed to deepen understanding and application of the professional nursing practices of delegation, supervision, and assignment. Each portion of the series builds on the previous section's knowledge of nursing practice act rules and nursing leadership expertise to the student's actual work setting, fostering immediate skill utilization. Developed as a follow up to Dr. Hansten's work with 175 healthcare organizations, educational content is based on student questions during her national seminars, and her research related to critical thinking in nursing. A syllabus of worksheets, tools, bibliography, video clips, a narrated webinar, a slide deck, and a test are provided for each section.


Sections 1 and 2 are each $39.95/student for 1.5 hours CE each.

Section 3 (acute care nurses only) on Making Assignments is $54.95 for 2 hours of CE

To purchase a course, go the Hansten Learning Center and select the course you want. You will be prompted to create a user name and password. After confirming your email address, follow the prompts to log in and make your payment. Immediately after payment you will have access to the course you purchased. The course will be available for the registrant's use for 30 days.

For organizational pricing or unlimited organizational access, please contact the Hansten Healthcare PLLC Office at 360-437-8060.


Section Objectives and Description

Leadership at the Point of Care Part 1: Delegation, Supervision, and Teamwork

Overview of Section

In the first section of this 3-part series, the instructor discusses the rationale for improving teamwork, RN leadership at the point of care; the definitions of delegation, supervision, and accountability; and the 5 Rights of Delegation. Important resources such as the ANA and NCSBN Joint Statement of Delegation and examples of state practice rules are offered. RN leadership skills and excellence in teamwork are offered as fundamental to patient safety and avoidance of healthcare acquired conditions such as pressure ulcers. The participants are encouraged to avoid common pitfalls and to consider how to apply the 5 Rights, including initial direction, feedback and debriefing, to current practice settings. This section is 1.5 CEUs.

Learner Objectives

  1. List the top two reasons for improving teamwork, RN leadership, and delegation.
  2. Define delegation and supervision.
  3. Describe the 5 rights of delegation and supervision.


Leadership at the Point of Care Part 2: Blueprint for Successful Clinical Supervision and Teamwork

Overview of Section

Building from a thorough knowledge of nursing professional practice in teamwork with assistive personnel, Part 2 of this 3-part series carries individual nursing practice to unit-level practices and shared mental models of care. After a review of the 5 Rights, the students discuss how teamwork effectiveness is measured in terms of clinical outcomes and patient/staff satisfaction. Teamwork research is connected with the concept of the 4 Ps (purpose, picture, plan, and part) and the RROHC (Relationship & Results Oriented Healthcare) 10 best practices as a structure for work planning. Omissions and missed care research and Hansten's field research is used to recommend inclusion of checkpoints, feedback and debriefing. A teamwork assessment tool is included to assist students in critical thinking and creating actionable next steps toward adopting some successful care practices into their workplace routines. The instructor encourages participants to bring their discoveries to their unit councils for problem solving when gaps are identified. Additional video clips are included with cautions related to RN/UAP assignment and shift report processes. This section is 1.5 CEUs.

Learner Objectives

  1. Analyze the current level of delegation, supervision, and feedback in your department.
  2. List the 4 Ps necessary for expert teamwork at the point of care.
  3. Choose your next steps for improving your care delivery model or plan for optimal clinical delegation and supervision.


Leadership at the Point of Care Part 3: Effective Assignments for RNs and Assistive Personnel (Acute Care)

Overview of Section

Part 3 promotes an in-depth view into the mechanics of making assignments in acute care settings. Past care delivery structure of primary, functional, and team nursing configurations are explored. Clinical reasoning, prioritizing, and possible criteria for making assignment decisions provide a basis for investigating possible options for assigning tasks and functions. Worksheet templates and review of charge RN role styles prepare the student to unlock their thinking into the processes used to delegate the Right Task to the Right Person under the Right Circumstances. The instructor encourages participants to probe into various methods of assigning patients within their unit councils or staff meetings and to experiment with possibilities for their unique unit and shift. This section is 2.0 CEUs.

Learner Objectives

  1. Review the concepts of primary nursing, functional, and team configurations.
  2. Determine criteria used for making assignments matching right person with right task.
  3. Plan for methods to deploy available staff with adequate initial direction, ongoing observation, and evaluation and feedback.


If you have questions, contact Ruth Hansten or Kathy Watkins.

The RROHC® Program is a protected copyrighted and registered trademarked program of Hansten Healthcare PLLC (HHC). If you wish to use our ideas and/or materials, we would be pleased to provide licensing and/or to register your organization in our programs in accordance with our fees and pricing schedules. You may not use our intellectual property or materials unless you are a client of HHC and/or have obtained express written permission from us.