History of Nurse Delegation
Washington State DSHS began expanding community care options to decrease nursing home costs and prevent the construction of additional skilled nursing beds in 1989. Additionally, advocates for the developmentally disabled population began to move residents out of established institutions and into less restrictive settings in the community.
Specially-trained caregivers assisted the disabled residents to integrate into the general population and this extended opportunities for education and employment. The Washington State Nursing Care Quality Assurance Commission in 1996 passed rules that implemented details and requirements for caregivers, tasks, supervision and the ability to rescind/cancel the delegation. As an agency, we comply with the strict rules and documentation guidelines set forth by the Washington State DSHS.
What is Nurse Delegation?
Registered nurse delegation means the registered nurse transfers the performance of selected nursing tasks to competent nursing assistants in selected situations. The registered nurse delegating the task retains the responsibility and accountability for the nursing care of the client. The other role of Nurse Delegator is to provide supervision for the client care, making supervisory visit at least every 90 days or more frequently as the need arises.
The Delegating RN ensures that the client condition is stable and predictable and that the caregiver meets the training requirements to receive nurse delegation. The client or client representative, Caregiver and Delegating RN all agree to the delegation process.