{"ref":"TX-HSP-NUR-02","title":"RN Delegation, Tasks Not Requiring Delegation and Physician Delegation","category":"Clinical tasks","summary":"Sets out the Agency’s decisions on registered nurse delegation, tasks that do not require delegation, and physician delegation, and how a registered nurse decides whether a hospice aide may perform a nursing task for a particular patient under the Texas Board of Nursing rules in 22 TAC Chapters 224 and 225.","inShort":["Aides do only the tasks written on the patient’s aide care instructions.","Aides never give medicines. You may remind, open containers and help a patient take their own medicine.","Only an RN decides whether a nursing task can be delegated, and it must be in writing for that patient and that aide.","If someone asks you to do a task that is not on your instructions, say no kindly and call the nurse.","We do not accept physician delegation to aides."],"primaryCitation":"26 TAC §558.298","citations":["26 TAC §558.298","26 TAC §558.296","26 TAC §558.842(b)-(c)","26 TAC §558.2(94), (103)","26 TAC §558.880(b)(8)","22 TAC ch. 224","22 TAC §224.1","22 TAC §224.6","22 TAC ch. 225","22 TAC §225.1","22 TAC §225.8","22 TAC §225.9","22 TAC §225.13","22 TAC §217.11(3)(B)","Tex. Occ. Code ch. 157"],"federalCitations":["42 CFR §418.76(g)","42 CFR §418.112(c)(7)"],"surveyorAsks":["Does your agency accept physician delegation? Where is that written?","Show me the RN’s written delegation for this aide and this patient."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.298)","5. Which Board of Nursing Chapter Applies","6. Delegation Procedure","7. Health Maintenance Activities Not Requiring Delegation","8. Tasks That Are Never Delegated","9. What an Aide Does if Asked to Do Something Else","10. Facility Staff and Family Caregivers","11. If the Governing Body Decides to Accept Physician Delegation","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"tx-hospice","state":"Texas","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Hospice","legalName":"Sample Hospice, LLC","logo":null}}