How much do you know about nursing delegation?

CDPHE oversee all nursing delegation for home health.

The agency/facility should develop polices/procedures/forms that address appropriate delegation and the
role of the employees implementing delegation.

Policies and procedures may vary from agency to agency and should address the following:

There are limitations in Delegation:  Each delegation is to one individual, for one skilled task(s) delegated, for one specific patient, for a given time period.

Each delegated task(s) and each individual patient needs separate delegation and documentation of the requirements.

All settings in Colorado have the same nurse delegation regulation including schools, outpatient clinics and home health agencies.

The Registered Nurse (RN)’s job description should reflect the RN’s responsibility to delegate to
other health care individuals or staff in accordance with State of Colorado Nurse Practice Act or
other applicable state/Federal regulation.

A system for ongoing monitoring of compliance should be developed such as a chart audit/review,
quarterly monitoring, yearly skills update.

Each home health agency has an orientation for delegation for the RN and a different one for the non-RN.

Assignment and delegation are the same.