22 Tex. Admin. Code § 224.6 - General Criteria for Delegation
The following standards must be met before the RN delegates nursing tasks to unlicensed persons. These criteria apply to all instances of RN delegation. Additional criteria, if appropriate to the particular task being delegated, may also be found in § 224.8(b)(1) of this title (relating to Discretionary Delegation Tasks).
(1) The RN must make an assessment of the
client's nursing care needs. The RN should, when the client's status allows,
consult with the client, and when appropriate the client's family and/or
significant other(s), to identify the client's nursing needs prior to
delegating nursing tasks.
(2) The
nursing task must be one that a reasonable and prudent RN would find is within
the scope of sound nursing judgment to delegate. The RN should consider the
five rights of delegation: the right task, the right person to whom the
delegation is made, the right circumstances, the right direction and
communication by the RN, and the right supervision as determined by the
RN.
(3) The nursing task must be
one that, in the opinion of the delegating RN, can be properly and safely
performed by the unlicensed person involved without jeopardizing the client's
welfare.
(4) The nursing task must
not require the unlicensed person to exercise professional nursing judgment;
however, the unlicensed person may take any action that a reasonable, prudent
non-health care professional would take in an emergency situation.
(5) The unlicensed person to whom the nursing
task is delegated must be adequately identified. The identification may be by
individual or, if appropriate, by training, education, and/or
certification/permit of the unlicensed person.
(6) The RN shall have either instructed the
unlicensed person in the delegated task, or verified the unlicensed person's
competency to perform the nursing task. The verification of competence may be
done by the RN making the decision to delegate or, if appropriate, by training,
education, experience and/or certification/permit of the unlicensed
person.
(7) The RN shall adequately
supervise the performance of the delegated nursing task in accordance with the
requirements of §
224.7 of this title (relating to
Supervision).
(8) If the delegation
continues over time, the RN shall periodically evaluate, review, and when a
change in condition occurs reevaluate the delegation of tasks. For example, the
evaluation would be appropriate when the client's Nursing Care Plan is reviewed
and revised. The RN's evaluation of a delegated task(s) will be incorporated
into the client's Nursing Care Plan.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.