It depends. The NA-R/NA-C may independently follow instructions in Section A of the POLST Form indicated “CPR/Attempt Resuscitation” or “Do Not Attempt Resuscitation (DNAR) – Allow Natural Death” when a patient is non-responsive or has no heartbeat. The NA-R/NA-C may follow directions in section B of the POLST Form within their core competencies (Chapter 246-841A WAC) under the direction and supervision of the RN or LPN. Some tasks (not in the NA-R/NA-C’s core competencies) identified in Section B of the POLST Form may require RN delegation (e.g., tube feedings, selective medications, oxygen administration, continuous positive airway pressure (CPAP) procedures, or airway suctioning). See the Portable Order for Life Sustaining Treatment (POLST) Advisory Opinion and the Portable Orders for Life Sustaining Treatment (POLST) | Washington State Department of Health Website for more information.