RN Delegation, Tasks Not Requiring Delegation and Physician Delegation
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.
About this policy
- Policy number
- TX-HSP-NUR-02
- Version
- 1.0
- Main rule
- 26 TAC §558.298
- Library
- Texas hospice · 59 policies
- Category
- Clinical tasks
- Sections
- 19
In short
- 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.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- Does your agency accept physician delegation? Where is that written?
- Show me the RN’s written delegation for this aide and this patient.
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