Incremental Responsibility/Layering

Gradually increase the level of responsibility given to students, allowing them to make decisions under supervision. Start with simpler medications and procedures, moving to more complex situations as their confidence and competence grow.

This diagram includes a visual representation of both student and clinical instructor responsibilities in the medication administration process. The green space illustrates the student’s progression, starting with foundational skills and gradually taking on more responsibility as they gain confidence and competence. The blue space represents the clinical instructor’s responsibility, which is initially high, covering the skills and tasks not yet taken on by the student. As the semester progresses and the student becomes more independent, the instructor’s direct responsibility decreases, shifting towards more of a supervisory and support role. This visual representation underscores the dynamic balance between teaching, supervision, and the gradual transition of responsibility from instructor to student in the clinical learning environment. ​At no point is the student completely autonomous as the registered nurse clinical instructor maintains responsibility for patient safety.