Section 225.10 - Tasks That May Be DelegatedA RN may delegate the following tasks unless the RN's assessment under § 225.6 of this title (relating to RN Assessment of the Client) and § 225.9 of this title (relating to Delegation Criteria) determines that the task is not a task a reasonable and prudent nurse would delegate. Tasks include:
(1) an ADL the RN has determined requires delegation under § 225.7 of this title (relating to Activities of Daily Living Not Requiring Delegation);(2) a HMA the RN has determined requires delegation under § 225.8 of this title (relating to Health Maintenance Activities Not Requiring Delegation);(3) non-invasive and non-sterile treatments with low risk of infection;(4) the collecting, reporting, and documentation of data including, but not limited to: (A) vital signs, height, weight, intake and output, capillary blood and urine test;(B) environmental situations/living conditions that affect the client's health status;(C) client or significant other's comments relating to the client's care; and(D) behaviors related to the plan of care;(5) reinforcement of health teaching provided by the registered nurse;(6) inserting tubes in a body cavity or instilling or inserting substances into an indwelling tube limited to the following:(A) insertion and/or irrigation of urinary catheters for purpose of intermittent catheterization; and(B) irrigation of an indwelling tube such as a urinary catheter or permanently placed feeding tube;(7) ventilator care or tracheal care; including instilling normal saline and suctioning of a tracheostomy with routine supplemental oxygen administration.(8) care of broken skin with low risk of infection;(9) sterile procedures those procedures involving a wound or an anatomical site that could potentially become infected;(10) administration of medications that are administered: (A) orally or via permanently placed feeding tube inserted in a surgically created orifice or stoma;(D) eye and ear drops; nose drops and sprays;(E) vaginal or rectal gels or suppositories;(F) unit dose medication administration by way of inhalation for prophylaxis and/or maintenance; and(G) oxygen administration for the purpose of non-acute respiratory maintenance.(11) administration of oral unit dose medications from the client's daily pill reminder container in accordance with § 225.11 of this title (relating to Delegation of Administration of Medications From Pill Reminder Container);(12) administration of insulin or other injectable medications prescribed in the treatment of diabetes mellitus administered sub-cutaneously, nasally, or via an insulin pump in accordance with § 225.12 of this title (relating to Delegation of Insulin or Other Injectable Medications Prescribed in the Treatment of Diabetes Mellitus);(13) certain emergency measures as defined in § 224.6(4) of this title (relating to General Criteria for Delegation);(14) those tasks that an RN may reasonably conclude as safe to delegate based on an assessment consistent with § 225.6 of this title; and(15) other such tasks as the Board may designate.22 Tex. Admin. Code § 225.10
The provisions of this §225.10 adopted to be effective February 19, 2003, 28 TexReg 1386; amended to be effective February 24, 2014, 39 TexReg 1154