Lesson Summary

There are five conditions for nurse delegation:

1. A licensed Registered Nurse transfers the performance of a task.
2. There are four specific tasks that may not be delegated.
3. A delegation covers a specific task for one client.
4. Only qualified Nursing Assistants/Home Care Aides can accept a delegation.
5. Delegation can only happen in four community settings.

The following four tasks may NOT be delegated to you.

1. Injections, other than insulin.
2. Sterile procedures.
3. Maintenance of central lines.
4. Tasks that require nursing judgment.

There are five requirements to be qualified to receive a delegation. You must:

1. Be an HCA, NA-R or a NA-C current and in good standing in Washington State.
2. Have completed the educational requirements for delegation.
3. Be willing to perform the specific task to be delegated.
4. Demonstrate your competence to perform the specific tasks to be delegated correctly
   and without direct supervision to the delegating RN.

There are four settings in which delegation can occur:

1. Certified community residential programs for the developmentally disabled.
2. Licensed adult family homes.
3. Licensed assisted living facilities.
4. In clients’ homes.