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The delegating nurse is accountable for assessing a situation and making the final decision to delegate. Table of Contents
The registered nurse is responsible for the nature and quality of nursing care that a client receives under the nurse's direction. To achieve full utilization of the services of a registered nurse or a licensed practical nurse, the licensed nurse may delegate selected nursing tasks to unlicensed assistive personnel. Unlicensed assistive personnel may complement the licensed nurse in the performance of nursing functions but may not substitute for the licensed nurse. Unlicensed assistive personnel may not re-delegate a delegated act. A licensed nurse is accountable to practice in accordance with the scope of practice as defined in SDCL chapter 36-9. The delegating nurse is accountable for assessing a situation and making the final decision to delegate. The delegation of nursing tasks to unlicensed assistive personnel must comply with the following criteria:
§20:48:04.01:02. SupervisionThe licensed nurse shall provide supervision of all nursing tasks delegated to unlicensed assistive personnel in accordance with the following conditions:
§20:48:04.01:07. Nursing tasks that may not be delegated.The following are nursing tasks that a licensed nurse may not delegate to unlicensed assistive personnel:
§20:48:04.01:09. Registration required for delegated medication administration.A licensed nurse may delegate the administration of medications authorized under §20:48:04.01:10 and §20:48:04.01:11 only to unlicensed assistive personnel who have a minimum of a high school education or the equivalent and who are registered with the Board. Registry status expires two years from the date of initial registration. §20:48:04.01:11. Medication administration tasks that may not be routinely delegated and require written protocol.The following are medication administration tasks that may be delegated to unlicensed assistive personnel only in accordance with §20:48:04.01:01:
A registered nurse shall develop a written protocol for the instruction and training of unlicensed assistive personnel and maintain the protocol on file. (See the SD Board of Nursing approved Protocol) §20:48:04.01:12. Medication administration tasks that may not be delegated.The licensed nurse may not delegate the following tasks of medication administration:
§20:48:04.01:16. Written protocol required for the delegation of insulin administration by the subcutaneous route to unlicensed assistive personnel.A written protocol for the delegation of insulin administration by the subcutaneous route to unlicensed assistive personnel is required prior to delegation by the registered nurse. The registered nurse must ensure that the following requirements are included in the protocol and are completed by the unlicensed assistive personnel: (See approved Protocol)
§20:48:04.01:17. Qualifications of the registered nurse for delegation of insulin administration by the subcutaneous route to unlicensed assistive personnel.A registered nurse must meet the following criteria in order to delegate insulin administration by the subcutaneous route to unlicensed assistive personnel in accordance with §20:48:04.01:11 and §20:48:04.01:16:
See the SD Board of Nursing's Approved Protocol for RN Delegation of Insulin. « PreviousNext »Texas Registered Nurses (RNs) must adhere to delegation rules regarding tasks completed by unlicensed personnel. The fact is that it is not uncommon to have disagreement between a patient or client and a registered nurse as to what tasks can and should be properly delegated. RN Delegation of Nursing Tasks to Unlicensed Personnel, Texas RulesThe BON offers a practice Delegation Resource Packet on their website here. The packet offers Delegation FAQs, information on the Conflict Resolution Model, Delegation Principles, Delegation Don’ts, and Links to Delegation Resources, among other information.
22 Tex. Admin. Code §224.6. The delegation process is multifaceted, and it begins with decisions made at the administrative level and extends to the staff responsible for delegating and supervising the
delegated tasks. Hire an Experienced BON License Defense AttorneyIf
your Texas nursing license has been revoked or surrendered, or if you have been notified of a complaint filed against you with the Texas Board of Nursing, BERTOLINO LLP can help. Call or text (512) 476-5757 or complete a Case Evaluation form What is the difference between delegation Rule 224 and 225?Board Rule 225 - Applicability
However, while using 224 to provide oversight and delegation of tasks for the acute condition, the RN may continue to utilize 225 for the oversight and delegation of tasks for the client's ongoing stable and predictable conditions.
Which component of delegation is considered a two way process?Which component of delegation is considered a "two way process"? Responsibility is a two way process. Authority is the ability to perform duties in a specific role. Supervision is defined as the "provision of guidance and oversight of a delegated nursing task." Accountability may not be a two-way process.
What can be delegated to an unlicensed assistive personnel?In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated. But if the patient is morbidly obese, recovering from surgery, or frail, work closely with the UAP or perform the care yourself.
Which task may the nurse delegate to unlicensed assistive personnel UAP?Routine tasks, such as taking vital signs, supervising ambulation, bed making, assisting with hygiene, and activities of daily living, can be delegated to an experienced UAP. The charge nurse appropriately delegates the routine task of feeding to the UAP.
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