Current through Register Vol. 51, No. 19, September 20, 2024
A. The nurse shall
determine the required degree of supervision after an evaluation of appropriate
factors including, but not limited to the:
(1)
Stability of the condition of the client;
(2) Training of the individual to whom the
nursing task is being delegated;
(3) Nature of the nursing task being
delegated;
(4) Orientation of the
unlicensed individual, certified nursing assistant, or medication technician to
the specific patient environment;
(5) Ability of the unlicensed individual,
certified nursing assistant, or medication technician to perform the delegated
nursing task in a safe and competent manner; and
(6) Reevaluation of the client's health
status.
B. The
delegating nurse shall be readily available when delegating a nursing task to
an unlicensed individual, certified nursing assistant, or medication
technician.
C. For the client whose
health status meets the criteria as stated in Regulation .03F of this chapter,
the registered nurse managing the case shall make a supervisory on-site visit
to the client at a minimum of every 45 days to:
(1) Evaluate the client's health
status;
(2) Evaluate the nursing
acts to be delegated;
(3) Determine
whether health goals are being met;
(4) Evaluate the continued competence of the
certified nursing assistant, unlicensed individual, or medication technician to
perform the delegated nursing task; and
(5) Evaluate the environment in which the
delegated task is performed.
D. For the client whom the registered nurse
has determined does not meet the criteria as stated in Regulation .03F of this
chapter, the registered nurse shall:
(1) Make
a supervisory on-site visit to the client at least every 2 weeks to evaluate
the criteria described in §C of this regulation; and
(2) Determine whether the:
(a) Nursing tasks may be safely delegated in
that setting and given the client's clinical status; and
(b) Nursing assistant, unlicensed individual,
or medication technician is competent to perform the nursing tasks to be
delegated.
