Empowering trained caregivers to safely perform nursing tasks under supervision.

Delegating Nurse/RN

Role/Definition

Authorizes another person who is unlicensed to perform nursing tasks after being trained by a nurse in the tasks that are delegated to them. (All tasks that are delegated require training. The training may occur individually or in a group and may occur in a classroom setting or in the home.)

Employment

May be employed by an agency or be self-employed.

Assessment/Training Responsibilities

Initially assesses and provides ongoing assessment at least annually. Delegates and provides training and supervision to the unlicensed person that will be performing the nursing tasks.

Before delegating the task, the nurse determines that:

  1. The nursing task requires no judgement.
  2. Results of the task are reasonably predictable.
  3. Performance of task does not require complex observation/decisions.
  4. Task does not require repeated nursing assessment.
  5. If not done properly the consequences are minimal and not life threatening.

Documentation

Provides verbal and written step-by-step instructions to the unlicensed person doing the tasks.

Completes a “Statement of Delegation” for each person who requires delegation.

Observes and documents a satisfactory demonstration by the unlicensed person of the nursing task.

Communication

Always be accessible through some form of telecommunication.

Other

If the delegating nurse determines that an unlicensed person is not correctly performing a delegated nursing task, the licensed nurse shall immediately intervene.

The delegating nurse must consider the number of delegated tasks, complexity of tasks, complications in medical condition of the patient/client before determining that this is an appropriate service for the patient/client (OAC 4723-13).

Straight catheterization is one example of a nursing task that can be delegated if the OAC rule (4723-13) requirements are met i.e., assessment, training, observation of return demonstration, written step-by-step instructions, etc.

Nurse Delegation: What Is It All About?

Have you ever wondered what nurse delegation really means and how it affects patient care? Nurse delegation is an essential part of modern healthcare that allows licensed nurses, like registered nurses in Cincinnati, Ohio, to authorize trained unlicensed personnel to perform specific nursing tasks. It’s a structured process designed to make healthcare more accessible while maintaining safety and quality for patients. But what does this look like in practice? Let’s break it down.

Why Is Nurse Delegation Important?

Nurse delegation allows patients to receive high-quality care while helping healthcare systems run efficiently. By delegating tasks appropriately, licensed nurses can focus on complex medical needs, while trained personnel handle predictable, low-risk tasks under supervision. It’s a win-win for patient safety and practical care delivery.

In short, nurse delegation is about balancing safety, efficiency, and personalized care. With proper assessment, training, documentation, and ongoing supervision, it ensures that healthcare remains both accessible and reliable.

Frequently Asked Questions (FAQs)

What is nurse delegation in simple terms?
Nurse delegation is when a licensed nurse trains and authorizes an unlicensed person to perform certain nursing tasks safely under supervision.
Who can perform delegated nursing tasks?
Only unlicensed personnel who have been properly trained by a delegating nurse can perform delegated nursing tasks.
How does a nurse decide which tasks can be delegated?
The nurse evaluates task complexity, potential risks, predictability of outcomes, and the patient’s condition before delegating any task.
What types of tasks can be delegated?
Low-risk, predictable tasks that don’t require complex decision-making, such as straight catheterization, can be delegated if training requirements are met.
Is training required before performing a delegated task?
Yes, training is mandatory. The delegating nurse provides verbal and written instructions, observes practice, and documents competency.
How often are delegated tasks assessed?
Delegated tasks are initially assessed during training and then evaluated at least annually to ensure proper performance.
What happens if the unlicensed person makes a mistake?
The delegating nurse intervenes immediately to correct the error and ensure patient safety.

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