N.J. Admin. Code § 13:37-6.2 - Delegation of selected nursing tasks
(a) The registered
professional nurse is responsible for the nature and quality of all nursing
care including the assessment of the nursing needs, the plan of nursing care,
the implementation, and the monitoring and evaluation of the plan. The
registered professional nurse may delegate selected nursing tasks in the
implementation of the nursing regimen to licensed practical nurses and
ancillary nursing personnel. Ancillary nursing personnel shall include but not
be limited to: aides, assistants, attendants, and technicians.
(b) In delegating selected nursing tasks to
licensed practical nurses or ancillary nursing personnel, the registered
professional nurse shall be responsible for exercising that degree of judgment
and knowledge reasonably expected to assure that a proper delegation has been
made. A registered professional nurse may not delegate the performance of a
nursing task to persons who have not been adequately prepared by verifiable
training and education. No task may be delegated which is within the scope of
nursing practice and requires:
1. The
substantial knowledge and skill derived from completion of a nursing education
program and the specialized skill, judgment, and knowledge of a registered
nurse;
2. An understanding of
nursing principles necessary to recognize and manage complications which may
result in harm to the health and safety of the patient.
(c) The registered professional nurse shall
be responsible for the proper supervision of licensed practical nurses and
ancillary nursing personnel to whom such delegation is made. The degree of
supervision exercised over licensed practical nurses and ancillary nursing
personnel shall be determined by the registered professional nurse based on an
evaluation of all factors including:
1. The
condition of the patient;
2. The
education, skill, and training of the licensed practical nurse and ancillary
nursing personnel to whom delegation is being made;
3. The nature of the tasks and the activities
being delegated;
4. Supervision may
require the direct continuing presence or the intermittent observation,
direction, and occasional physical presence of a registered professional nurse.
In all cases, the registered professional nurse shall be available for on-site
supervision.
(d) A
registered professional nurse shall not delegate the performance of a selected
nursing task to any licensed practical nurse who does not hold a current valid
license to practice nursing in the State of New Jersey. A registered
professional nurse shall not delegate the performance of a selected nursing
task to ancillary nursing personnel who have not received verifiable education
and have not demonstrated the adequacy of their knowledge, skill, and
competency to perform the task being delegated.
(e) Nothing contained in this rule is
intended to limit the current scope of nursing practice.
(f) Nothing contained in this rule shall
limit the authority of a duly licensed physician acting in accordance with
N.J.S.A.
45:9-1 et seq.
Notes
See: 18 N.J.R. 1176(a), 18 N.J.R. 1448(a), 18 N.J.R. 2128(a).
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