Registered Nurse Delegation of Tasks to Home Health Aides and CNAs
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.
About this policy
- Policy number
- FL-HH-DEL-01
- Version
- 1.0
- Main rule
- Rule 59A-8.0216, F.A.C.
- Library
- Florida home health · 57 policies
- Category
- Clinical tasks
- Sections
- 20
In short
- 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.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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.
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