1. Except as otherwise provided in subsection 3, 4 or 6 of NAC 632.226 or paragraph (e) of subsection 1 of NAC 632.252 or as otherwise provided by law or regulation, a licensed nurse may delegate nursing care to another person and supervise the other person in the provision of that care if the following requirements are met: (a) The licensed nurse is: (1) An advanced practice registered nurse and delegates the care to a registered nurse, licensed practical nurse or any assistive personnel;(2) A registered nurse and delegates the care to a licensed practical nurse or any assistive personnel; or(3) A licensed practical nurse and delegates the care to any assistive personnel;(b) The nursing care being delegated is within the scope of practice of the delegator;(c) If the nursing care is being delegated to a registered nurse or licensed practical nurse, the nursing care is within the parameters of the authorized scope of practice of the delegatee;(d) The delegatee is competent to provide the nursing care delegated to him or her and verbally accepts the responsibility to provide that care; and(e) The nursing care being delegated will not involve the use of any nursing judgment or critical decision making.2. Subject to the limitations set forth in subsection 1, a delegatee may perform a specific nursing activity, skill or procedure that is outside the traditional role and basic responsibilities of his or her current job.3. A delegator shall perform or supervise any act necessary to ensure the quality and sufficiency of the delegated nursing care provided to a patient.4. Before delegating the nursing care of a patient, the delegator must consider the following:(a) The amount of direction required to be given to the delegatee;(b) The complexity of the nursing care needed by the patient, recognizing that simple care may be performed by following an established policy while more complex care requires greater knowledge and a higher level of judgment, direction and supervision;(c) Whether the delegatee has obtained the education and training and has the validated competence to perform the nursing care, recognizing that the context and processes associated with competency validation are different for each activity, skill or procedure being delegated and that competency validation should be specific to the knowledge and skill required to perform the delegated care safely and the level of practitioner of the delegatee; and(d) The established policies and procedures relating to the care of the patient and the procedures used to communicate to other providers of health care the patient's symptoms, reactions and progress.5. A delegator maintains overall accountability for the patient whose nursing care is delegated pursuant to this section, but a delegatee is responsible for any delegated activity, skill or procedure that he or she performs.6. The provisions of this section apply to the delegation of nursing care to a registered nurse, licensed practical nurse or assistive personnel and do not apply to the assignment of duties to such persons.7. As used in this section:(a) "Assignment" means entrusting the performance of routine care, activities and procedures that are within the authorized scope of practice of a registered nurse or licensed practical nurse or part of the routine functions of assistive personnel.(b) "Assistive personnel" means any person trained to function in a supportive role, regardless of title or licensure, to whom nursing care may be delegated. The term includes, without limitation, certified nursing assistants, patient care technicians, medication aides -certified, home health aides and unlicensed assistants.(c) "Delegatee" means a registered nurse, licensed practical nurse or assistive personnel, as applicable, to whom nursing care is delegated.(d) "Delegator" means an advanced practice registered nurse, registered nurse or licensed practical nurse, as applicable, who delegates nursing care.Nev. Admin. Code § 632.Sec. 1
Added to NAC by Bd. of Nursing by R019-22A, eff. 6/13/2022