TAHC Publications:  SAMPLE POLICIES

Item M#116: Guidance on Nursing Delegation
This Guidance on Nursing Delegation is an indispensable starting point for agencies who are looking for guidance on what needs to be in place for registered nurses to delegate certain tasks to unlicensed assistive personnel (UAP). Sections include:

• Sample Nurse Delegation Policy and Procedure
• Delegation Decision Making Tree
• Delegation Decision Making Tree Rule 224: Delegation of Nursing Tasks by Registered Nurse to Unlicensed Personnel for Clients with Acute Care Environments
• Delegation Decision Making Tree Rule 225: RN Delegation to Unlicensed Personnel and Tasks Not Requiring Delegation in the Independent Living Environment for Clients with Stable & Predictable Environments
• Competency Verification Form for Delegated Tasks to Unlicensed Personnel (Form B)
• A Six-Step Decision-Making Model for Determining RN Scope of Practice
• The Five Rights of Delegation
• Delegation Decision-Making Grid
• Training Tips
• Skills Demonstration Checklists and Multiple Choice Questions
• Section IV--Final Rules Adopted by the BNE Regarding Nurse Delegation

M=$75 NM=$125