The RN may delegate administration of medications to the NA-R-/NA-C or HCA-C only in community-based* and in-home care settings by the following routes:
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The RN must follow the nurse delegation process. The following statute and WACs are applicable to nurse delegation in community-based* and 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
*Community-based settings include adult family homes, assisted living facilities, and residential homes for individuals with developmental disabilities (RCW 18.79.260).
The HCA-C is allowed to work only in community-based*, in-home care settings, and enhanced service facilities. The following statutes and WACs are applicable to nurse delegation to the HCA-C in addition to the statute and WACs noted above:
RCW 18.88B.070: Nurse Delegated Tasks
WAC 246-980-130 Provision of Delegation of Certain Tasks to the HCA-C
WAC 246-980-140: Scope of Practice for Long-Term Care Workers