Delegation of Nursing Tasks to Unlicensed Staff
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.
- Policy number
- OH-HH-DEL-01
- Version
- 1.0
- Main rule
- OAC 4723-13-05
- Library
- Ohio home health · 59 policies
- Category
- Clinical tasks
- Sections
- 21
In short
- 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.
What's inside
21 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- Do your nurses delegate nursing tasks to aides? Show me a delegation record.
- What does the delegating nurse decide before delegating a task?
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