N.H. Code Admin. R. Nur 404.06

Current through Register No. 16, April 18, 2024

Section Nur 404.06 - Delegation of Nursing Tasks

(a) To delegate a nursing task, the delegating nurse shall:

(1) Assess the client to ensure the client's condition is stable and predictable pursuant to Nur 101.21;

(2) Ensure the task does not require nursing assessment and consider:

a. The nature of the task, the complexity, and the risks involved;

b. The delegate skills necessary to safely perform the task within the care setting and without the direct supervision of the delegating nurse; and

c. The willingness of the delegate to perform the task;

(3) Teach the task to the prospective delegate;

(4) Observe the prospective delegate performing the task to ensure that the task is performed safely and accurately;

(5) Upon finding the delegate competent at the task, delegate the task and instruct the delegate that the delegation is specific to the specified client only and not transferable to another client;

(6) Document the delegation and the delegation process and leave written instructions with the delegate, as appropriate;

(7) Supervise the delegate and provide ongoing evaluation at a frequency determined by consideration of the following:

a. The complexity of the delegated task of client care;

b. The condition of the client;

c. The skill level of the delegate; and

d. The familiarity of the delegate with the environment in which the task is to be performed; and

(8) Rescind the delegation if:

a. The client's condition changes in a way that renders the delegation no longer safe or appropriate;

b. The delegate proves unwilling or incompetent to perform the delegated task;

c. The client objects to the delegation ; or

d. The delegating nurse is no longer able to supervise the performance of the delegated task. The delegating nurse shall notify the delegate and the delegatee's supervisor of a rescission.

(b) A licensed nurse shall report to the board an attempt to coerce the delegation of a task of client"care in violation of RSA 326-B: 29, II.

N.H. Code Admin. R. Nur 404.06

#7741, eff 8-13-02; ss by #8873, eff 4-24-07; ss by #10299, eff 3-22-13; ss by #10571, eff 4-17-14

Renumbered by Nur 404.05 Volume XXXV Number 45, Filed November 12, 2015, Proposed by #10953, Effective 10/22/2015, Expires 10/22/2025.

Amended by Volume XXXVI Number 19, Filed May 12, 2016, Proposed by #11082, Effective 4/26/2016, Expires 4/26/2026.