Roles and Responsibilities: The Employer/Administrator

Roles and Responsibilities—The Employer/Administrator
In a facility, the Employer/Administrator is responsible to make sure that any nurse
delegation that occurs in the facility has been done according to the nurse delegation rules.
This includes ensuring:
• The tasks performed are not prohibited by law.
• The Nursing Assistant/Home Care Aide has completed all the training and registration
requirements prior to receiving delegated tasks.
• The delegation process has been completed correctly.
• The tasks are performed as directed.
The Employer/Administrator is ultimately responsible for what goes on in an assisted living
facility or an adult family home. They will be cited by the regulators if the delegation is not
done correctly.
The Employer/Administrator is also responsible for setting and communicating the
procedures to be followed in the facility. The administrator is responsible for setting policies
that will provide the best client care, given the size of the facility, and the level of staffing.
Since the Administrator is ultimately responsible for client care, it is extremely important
that the Administrator, the delegating RN, and the Nursing Assistant/Home Care Aide have
a very clear understanding of the delegation rules and the policies of the facility or home.
After you complete this course, discuss facility policies with the Administrator. Make sure
you understand the communication processes that are in place. For example, your facility
may have a policy that the Nursing Assistant/Home Care Aide must always contact the
administrator when contacting the delegating RN