{"ref":"OH-HH-DEL-01","title":"Delegation of Nursing Tasks to Unlicensed Staff","category":"Clinical tasks","summary":"Applies the Ohio Board of Nursing delegation rules (OAC Chapter 4723-13) to the Agency: only a licensed nurse may delegate a nursing task, an LPN only at the direction of an RN; the determinations and evaluation the nurse must complete before delegating; the short list of medications that may be delegated; no re-delegation; and, because the Agency’s substantial purpose is the provision of health care services, on-site direct supervision by the delegating nurse of every delegated task. Explains how delegation differs from assigning aide services and from helping a patient self-administer medication.","inShort":["Only a licensed nurse may delegate a nursing task, and an LPN only at an RN’s direction.","The nurse must check that the task is simple, predictable and safe for an unlicensed person before delegating it.","A delegated task is done only for the patient named, and only while the delegating nurse is there.","Never pass a delegated task to someone else.","If you are asked to do a nursing task that was not delegated to you, say no and call the RN."],"primaryCitation":"OAC 4723-13-05","citations":["OAC 4723-13-01","OAC 4723-13-02","OAC 4723-13-02(C)","OAC 4723-13-03","OAC 4723-13-05","OAC 4723-13-07","ORC 4723.03","OAC 3701-60-01(Y)","OAC 5160-12-01(G)","OAC 5160-44-22","OAC 5160-46-04(A)(4)"],"federalCitations":["42 CFR §484.80(g)","42 CFR §484.80(h)","42 CFR §484.75(c)"],"surveyorAsks":["Do your nurses delegate nursing tasks to aides? Show me a delegation record.","What does the delegating nurse decide before delegating a task?"],"forms":[{"ref":"OH-HH-DEL-01-A","title":"Nursing Task Delegation Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 4723-13-05)","5. Delegation, Assignment, and Self-Administration Help","6. Who May Delegate","7. Before Delegating: the Nurse’s Determinations","8. Before Delegating: Identification and Evaluation","9. Medications That May Be Delegated","10. Supervising a Delegated Task","11. Accountability, Intervention, and Withdrawal","12. Tasks the Agency Never Delegates","13. Ohio Medicaid","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"oh-hha","state":"Ohio","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}}