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Delegation of Nursing Tasks to Home Health Aides

Sets out when an RN may delegate a nursing task to a home health aide under Louisiana law, the six conditions the Louisiana State Board of Nursing requires for any delegation, the tasks that may never be delegated (including medication administration and any sterile or invasive procedure), the Agency's written list of delegable tasks, and how the RN supervises and withdraws delegation.

Preview: full text with a package
About this policy
Policy number
LA-HH-DEL-01
Version
1.0
Main rule
LAC 48:I §9103.C.2.c
Library
Louisiana home health · 57 policies
Category
Clinical tasks
Sections
19

In short

  • Only an RN may delegate a nursing task to an aide; an LPN may not.
  • The task must be simple, on the Agency's list, and written in the aide care instructions.
  • The aide must be trained and show the RN the task before doing it alone.
  • Medications, IVs, tube feedings and any sterile or invasive procedure are never delegated to aides.
  • Aides: stop and call the RN if anything is different from the instructions.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (LAC 48:I §9103.C.2.c)
  • 5. The Six Conditions for Any Delegation
  • 6. Tasks That Are Never Delegated to an Aide
  • 7. Tasks the Agency Allows RNs to Delegate
  • 8. The RN's Delegation Procedure
  • 9. Withdrawing a Delegation
  • 10. The Licensed Practical Nurse's Role
  • 11. Federal Rule (If Medicare-Certified)
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • Which nursing tasks may your aides perform, and where is that written?
  • Show me how the RN decided this task was safe to delegate for this patient.

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