(A) A registered nurse may delegate a nursing
task or activity to a community health
worker if all the conditions for delegation set forth in this chapter are met.
(B)
Prior
toWhen delegating a nursing task
or activity to a
community health worker,
the delegating
registered nurse shall determine
each
ofthat the following
conditions are met:
(1)
That
theThe nursing task
or activity is within the scope of practice
of a registered nurse as set forth in section
4723.01 of the Revised Code;
(2)
That
theThe nursing task
or activity is within the knowledge, skill,
and ability of the registered nurse delegating the nursing task
or activity;
(3)
That
theThe nursing task
or activity is within the training, skill,
and ability of the
community health worker who will be performing the delegated
nursing task
or activity;
(4)
The nursing task or activity is delegable as
specified in this rule;
(5)
(4)
That appropriateAppropriate resources and support are available for
the performance of the nursing task or
activity, and for management of the outcome;
(6)
(5)
That adequateAdequate and appropriate supervision by the
registered nurse of the performance of the nursing task
or activity is available in accordance with
this rule; and
(6)
That:
(a)
The nursing task
requires no judgment based on nursing knowledge and expertise on the party of
the community health worker performing the task;
(b)
The results of
the nursing task are reasonably predictable;
(c)
The nursing task
can be safely performed according to exact, unchanging directions, with no need
to alter the standard procedures for performing the task;
(d)
The performance
of the nursing task does not require that complex observations or critical
decisions be made with respect to the nursing task;
(e)
The nursing task
does not require repeated performance of nursing assessments by the delegating
registered nurse; and
(f)
The consequences of performing the nursing task
improperly are minimal and not life threatening.
(7) The community health worker
shall perform the delegated task or activity only as specified by the
registered nurse.
(C) Prior to
delegating athe delegation
of any nursing task
or activity to
a
community health worker, a
registered nurse shall:
(1) Identify:
(a) The individual on whom the nursing task
or activity may be performed; and
(b) A specific time frame during
which the delegated nursing task or
activity may be performed.
(2) Complete an evaluation of the conditions
that relate to the
delegation of the nursing task
or
activity to be performed, including:
(a) An evaluation of the individual who needs
nursing care;
(b) The types of
nursing care the individual requires;
(c) The complexity and frequency of the
nursing care needed;
(d) The
stability of the individual who needs nursing care; and
(e) A review of the evaluations performed by
other licensed health care professionals.
(3)
Identify a nursing task or activity as delegable if
all the following apply:
(a)
The nursing task or activity requires no judgment
based on nursing knowledge and expertise on the part of the community health
worker performing the task;
(b)
The results of the nursing task or activity are
reasonably predictable;
(c)
The nursing task or activity can be safely performed
according to exact, unchanging directions, with no need to alter the standard
procedures for performing the task;
(d)
The performance of the nursing task or activity does
not require that complex observations or critical decisions be made with
respect to the nursing task or activity;
(e)
The nursing task or activity does not require
repeated performance of nursing assessments by the delegating registered nurse;
and
(f)
The consequences of performing the nursing task or
activity improperly are minimal and not life-threatening.
(D) The
delegating registered nurse shall be accountable
for the acts of delegation to and supervision of the community health worker in
the performance of the delegated nursing task or
activity.
(E) If a
registered nurse determines that a community health worker is not
correctly performing a delegated task
or activity according to the community health
worker's training and in accordance with the registered nurse's
direction, the registered nurse shall immediately
intervenewithdraw the
delegation.
(F) A
registered nurse shall not be responsible for the delegation of a nursing task
or activity by another licensed health care
practitioner to a community health worker.
Notes
Ohio Admin. Code
4723-26-08
Five Year Review (FYR) Dates:
11/6/2024 and
11/06/2029
Promulgated
Under: 119.03
Statutory
Authority: 4723.88
Rule
Amplifies: 4723.82
Prior
Effective Dates: 02/01/2005,
02/01/2010
Five Year Review (FYR) Dates:
10/11/2019 and
10/11/2024
Promulgated
Under: 119.03
Statutory
Authority: ORC 4723.88
Rule
Amplifies: ORC 4723.82
Prior
Effective Dates: 02/01/2005,
02/01/2010
