Yes. The RN is allowed to delegate reinsertion of a displaced G-tube for patients with a mature stoma site to the NA-R/NA-C or HCA-C. An alternative is for the RN to delegate reinsertion of a Foley catheter as a temporary measure to keep the stoma site open until the G-tube can be replaced.
Chapter 17 Enteral Tube Management - Nursing Skills - NCBI Bookshelf (nih.gov)
In all settings, the RN must follow the delegation process outlined in RCW 18.79.260 (3)(a) to make that determination.
In addition, 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 246-840-940: 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 statute and WACs are applicable to nurse delegation to the HCA-C in addition to those 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