Are there tasks that cannot be delegated to the nursing assistant-registered/nursing assistant-certified (NA-R/NA-C) or home care aide-certified (HCA-C)?

Yes. The following nursing care tasks may not be delegated by the registered nurse  to a NA-R/NA-C (Chapter 246-841A WAC) or HCA-C:

• Medication administration
  • Except in community-based* and in-home care settings
• Sterile procedures
• Central line maintenance
• Acts that require piercing or puncturing of the skin
  • Except for performing capillary blood glucose tests (RCW 18.79.260, RCW 18.88A.210, Chapter 246-841A WAC)
  • Except for administering insulin injections used to treat Diabetes Mellitus in community-based* and in-home care settings (RCW 18.79.260, RCW 18.88A.210, Chapter 246-841A WAC)
• Acts that require nursing judgment.

*Community-based settings include adult family homes, assisted living facilities, and residential homes for individuals with developmental disabilities (RCW 18.79.260).