Wash. Admin. Code § 246-840-940
(1) | Does the patient reside in one of the following settings? A community-based care setting as defined by RCW 18.79.260(3)(e)(i) or an in-home care setting as defined by RCW 18.79.260(3)(e)(ii). | No â | Do not delegate |
Yes â | |||
(2) | Has the patient or authorized representative given consent to the delegation? | No â | Obtain the written, informed consent |
Yes â | No â | ||
(3) | Is RN assessment of patient's nursing care needs completed? | No â | Do assessment, then proceed with a consideration of delegation |
Yes â | |||
(4) | Does the patient have a stable and predictable condition? | No â | Do not delegate |
Yes â | |||
(5) | Is the task within the registered nurse's scope of practice? | No â | Do not delegate |
Yes â | |||
(6) | Is the nursing assistant registered or certified and properly trained in the nurse delegation for nursing assistants? Is the nursing assistant trained in diabetes care and insulin injections when delegating insulin? | No â | Do not delegate |
Yes â | |||
(7) | Does the delegation exclude the administration of medications by injection other than insulin, sterile procedures or central line maintenance? | No â | Do not delegate |
Yes â | |||
(8) | Can the task be performed without requiring judgment based on nursing knowledge? | No â | Do not delegate |
Yes â | |||
(9) | Are the results of the task reasonably predictable? | No â | Do not delegate |
Yes â | |||
(10) | Can the task be safely performed according to exact, unchanging directions? | No â | Do not delegate |
Yes â | |||
(11) | Can the task be performed without a need for complex observations or critical decisions? | No â | Do not delegate |
Yes â | |||
(12) | Can the task be performed without repeated nursing assessments? | No â | Do not delegate |
Yes â | |||
(13) | Can the task be performed properly? | No â | Do not delegate |
Yes â | |||
(14) | Is appropriate supervision available? With insulin injections, the supervision occurs at least weekly for the first four weeks. | No â | Do not delegate |
Yes â | |||
(15) | There are no specific laws or rules prohibiting the delegation? | No â | Do not delegate |
Yes â | |||
(16) | Task is delegable |
Wash. Admin. Code § 246-840-940
Statutory Authority: RCW 18.79.110, 18.79.260, 18.88A 060 [18.88A.060], and 18.88A.210. WSR 09-06-006, § 246-840-940, filed 2/18/09, effective 3/21/09. Statutory Authority: RCW 18.79.110, 18.79.260(3)(f), 18.88A.210, 2003 c 140. WSR 04-14-065, § 246-840-940, filed 7/2/04, effective 7/2/04. Statutory Authority: Chapters 18.79 and 18.88A RCW. WSR 02-02-047, § 246-840-940, filed 12/27/01, effective 1/27/02. Statutory Authority: Chapter 18.79 RCW. WSR 97-13-100, § 246-840-940, filed 6/18/97, effective 7/19/97; WSR 96-05-060, § 246-840-940, filed 2/19/96, effective 3/21/96.