Nursing leadership and management Delegation

RN DELEGATION OF NURSING TASKS BY REGISTERED NURSES TO UNLICENSED PERSONNELRULE 224

22 TAC §§224.1 - 224.11

For clients in independent living environments with stable and predictable conditions, see Rule 225.

FOR CLIENTS WITH ACUTE CONDITIONS OR IN ACUTE CARE ENVIRONMENTS

MAY CONSIDER TASK FOR DELEGATION

PERFORM ASSESSMENT

PROVIDE INSTRUCTION OR VERIFY COMPETENCY

Has the RN assessed the client’s nursing care needs?

Is the task one that a reasonable and prudent nurse would delegate?

Can the task be safely and properly performed by an unlicensed assistive person (UAP) ?

Can the UAP perform the task without exercising professional nursing judgment?

Can the UAP be adequately identified?

Has the RN either instructed the UAP or verified the UAP’s competency?

If the delegation continues, is the RN able to periodically evaluate the delegation?

Is there adequate RN supervision of the UAP based on:

A. The stability of the client’s status? B. The UAP’s competency?

C. The nature of the delegated task? D. The proximity and availability of the RN

to the UAP?

NO

NO

NO

NO

NO

NO

NO

NO

YES

YES

YES

YES

YES

YES

YES

1

2

3

4

5

6

7

8

§ 224.6 GENERAL CRITERIA FOR DELEGATION:

Tasks Commonly Delegated § 224.8 (a)

Discretionary Tasks § 224.8 (b)

Tasks Prohibited from Delegation § 224.8 (c)

YES

Nursing Practice poster 5 of 6

For more information, visit www.bon.texas.govwww.hhs.texas.gov/qmp

16D0441