Understanding the Nurse Delegation Process for Certified Home Care Aides and Individual Providers

Introduction

Nurse delegation is a crucial process that enables certified home care aides and individual providers to perform specific nursing tasks typically reserved for licensed nurses. This guide outlines the step-by-step process to help you navigate through nurse delegation successfully.

Step 1: Complete Required Training

Core Training Completion Before you can begin nurse delegation, you must have completed the Nurse Delegation Core Training. This course provides foundational knowledge and skills necessary for delegation and includes:

• Self-study materials

• Instructional videos

• Competency exam

Diabetes Specialty Training For tasks related to diabetes management, such as insulin administration, you will need to complete an additional Nurse Delegation Diabetes course after the core training​.

Step 2: Understand Delegable Tasks

Identifying Delegable Tasks Not all nursing tasks can be delegated. It's essential to know which tasks you are authorized to perform, such as:

• Medication administration

• Blood glucose monitoring

• Tube feedings

• Non-sterile dressing changes Tasks requiring sterile techniques or nursing judgment cannot be delegated​

Step 3: Obtain a Delegation from a Registered Nurse

Initial Assessment A registered nurse (RN) must conduct an initial assessment of the client to determine their needs and the appropriateness of delegation. This includes evaluating the client’s physical condition, medication regimen, and overall health status​ (DSHS Manuals)​.

Training and Competency Evaluation The RN will train you on specific tasks and evaluate your competency. This training ensures that you can perform the tasks safely and effectively. You must demonstrate proficiency in each task before delegation is authorized.

Step 4: Documentation and Physician Orders

Documentation Requirements Proper documentation is crucial. Ensure you have all necessary paperwork, including:

• Physician’s orders for the delegated tasks

• Training records

• Competency evaluations

Maintaining Accurate Records Keep detailed records of all delegated tasks, client conditions, and any changes in the client’s health. This documentation is vital for ongoing supervision and compliance​.

Step 5: Ongoing Supervision and Reassessment

Regular Supervision The RN must provide ongoing supervision and reassess the delegation periodically, typically every 90 days. This supervision includes reviewing your performance and making any necessary adjustments to the care plan​​.

Continuous Learning Stay updated with any changes in protocols and participate in continuing education as required. This helps ensure you are always prepared to provide the highest standard of care.

Conclusion

Nurse delegation empowers home care aides and individual providers to deliver essential nursing care in community settings. By following these steps and maintaining open communication with supervising RNs, you can provide safe and effective care to your clients.

For more information, visit the DSHS Nurse Delegation Program page here​ (DSHS Manuals)​

If you have any questions or need more information about our services please call or text 253 200 1840 or email megrn@wanursedelegation.com