Current through all regulations passed and filed through September 16, 2024
(A) A registered nurse may delegate a nursing
task to an unlicensed person if all the conditions for delegation set forth in
this chapter are met.
(B) A
licensed practical nurse may delegate to an unlicensed person only at the
direction of the registered nurse and if all the conditions for delegation set
forth in this chapter are met.
(C)
An advanced practice registered nurse may delegate the administration of
medication to an unlicensed person in accordance with the requirements set
forth in division (B)of section
4723.48 of the Revised Code and
section 4723.489 of the Revised
Code.
(D) Except as otherwise
authorized by law or this chapter, a licensed nurse may delegate to an
unlicensed person the administration of only the following medications:
(1) Over-the-counter topical medications to
be applied to intact skin for the purpose of improving a skin condition or
providing a barrier; and
(2)
Over-the-counter eye drop, ear drop, and suppository medications, foot soak
treatments, and enemas.
(E) Prior to delegating a nursing task to an
unlicensed person, the delegating nurse shall determine each of the following:
(1) That the nursing task is within the scope
of practice of the delegating nurse as set forth in section
4723.01 of the Revised
Code.
(2) That the nursing task is
within the knowledge, skill, and ability of the nurse delegating the nursing
task;
(3) That the nursing task is
within the training, ability, and skill of the unlicensed person who will be
performing the delegated nursing task;
(4) That appropriate resources and support
are available for the performance of the task and management of the outcome;
and
(5) That adequate and
appropriate supervision by a licensed nurse of the performance of the nursing
task is available in accordance with rule 4723-13-07 of
the Administrative Code.
(6) That:
(a) The nursing task requires no judgment
based on nursing knowledge and expertise on the part of the unlicensed person
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;
(f) The consequences of performing the
nursing task improperly are minimal and not life-threatening; and
(g)
Whether the nursing task, when added to the total
number of delegated nursing tasks to be performed for an individual, indicates
that the individual requires licensed nursing care rather than care provided by
an unlicensed person.
(F) Prior to delegating a nursing task, the
delegating nurse shall:
(1) Identify:
(a) The individual on whom the nursing task
may be performed; and
(b) A
specific time frame during which the delegated nursing task may be
performed.
(2) Complete
an evaluation of the conditions that relate to the delegation of the nursing
task 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, including
considering the number of nursing tasks required;
(d) The stability of the individual who needs
nursing care; and
(e) A review of
the evaluations performed by other licensed health care
professionals.
(G) The delegating nurse shall be accountable
for the decision to delegate nursing tasks to an unlicensed person.
(H) If a licensed nurse determines that an
unlicensed person is not correctly performing a delegated nursing task, the
licensed nurse shall immediately intervene.
