Is the registered nurse (RN) allowed to delegate to the nursing assistant-registered/nursing assistant-certified (NA-R/NA-C) administration of intranasal glucagon?

Yes, in some settings. The laws and rules allow the RN to delegate administration of intranasal glucagon to NA-R/NA-C only in community-based (adult family homes, assisted living facilities, and residential homes for individuals with developmental disabilities) and in-home care settings.

The following statute and WACs are applicable to nurse delegation in community-basedand in-home care settings: 

RCW 18.79.260: Registered Nurse—Activities Allowed—Delegation of Tasks 

WAC 246-840-910: Purpose  

WAC 246-840-920: Definitions 

WAC 246-840-930: Criteria 

WAC 246-840-940: Community-Based and In-Home Care Nursing Delegation Decision Tree 

WAC 246-840-950: How to Make Changes to Delegated Tasks 

WAC 246-840-960: Rescinding Delegation 

WAC 246-840-970: Accountability, Liability, and Coercion