No. The NA-R/NA-C performs routine nursing care activities, identified in the core competencies (Chapter 246-841A WAC) under the direction and supervision of the registered nurse or licensed practical nurse (LPN). Tasks that fall outside of the core competencies do require RN delegation.
It is within the scope of practice of the HCA-C to perform activities of daily living without direction and supervision of the RN. RN delegation is only required for nursing tasks that fall outside of the standards of practice of the HCA-C. 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:
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
WAC 246-980-150: Standards of Practice
*Community-based settings include adult family homes, assisted living facilities, and residential homes for individuals with developmental disabilities (RCW 18.79.260).