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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.

Preview: full text with a package
About this policy
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.

Full text with a package
  • 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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