{"ref":"FL-HH-DEL-01","title":"Registered Nurse Delegation of Tasks to Home Health Aides and CNAs","category":"Clinical tasks","summary":"Sets when and how a registered nurse of the Agency may delegate nursing tasks, including medication administration, to a home health aide or CNA: the four conditions in Florida rule, the statutory criteria for a delegable task, the delegation process of the Board of Nursing, what the nurse documents, the patient's written consent, supervision, rescinding a delegation, and the tasks that may never be delegated.","inShort":["A registered nurse may delegate some nursing tasks, including some medications, to a trained aide or CNA.","The patient must agree in writing before the aide does any delegated task.","Accept only tasks you were trained and checked for. It is fine to say you are not ready.","Nurses never delegate assessments, care planning, or controlled substances other than prefilled insulin.","The registered nurse stays responsible for the patient and may stop a delegation at any time."],"primaryCitation":"Rule 59A-8.0216, F.A.C.","citations":["s. 400.464(5), F.S.","s. 400.489, F.S.","s. 400.490, F.S.","s. 464.0156, F.S.","s. 464.2035, F.S.","Rule 59A-8.0216, F.A.C.","Rule 59A-8.0095(2)(c), F.A.C.","Rule 59A-8.0095(3)(e), F.A.C.","Rule 59A-8.0097, F.A.C.","Rule 64B9-14.001, F.A.C.","Rule 64B9-14.0015, F.A.C.","Rule 64B9-14.002, F.A.C.","Rule 64B9-14.003, F.A.C."],"federalCitations":["42 CFR §484.80(g)(2)"],"surveyorAsks":["Which tasks do your registered nurses delegate to aides? Show me the delegation record for this patient.","Show me the patient's written consent to delegated tasks, signed before the aide performed them."],"forms":[{"ref":"FL-HH-DEL-01-A","title":"Patient Consent to Delegated Tasks"},{"ref":"FL-HH-DEL-01-B","title":"Registered Nurse Delegation Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-8.0216, F.A.C.)","5. Is the Task Delegable?","6. Tasks That May Never Be Delegated","7. Choosing the Aide","8. The Delegation Process","9. What the Nurse Documents","10. Patient Consent","11. Supervision, Periodic Inspection, and Rescinding","12. Agency Responsibilities","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"fl-hha","state":"Florida","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}