D.C. Mun. Regs. tit. 17, r. 17-9513

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 17-9513 - ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO MEDICATION AIDES

9513.1

An RN or LPN may assign or delegate tasks to an MA-C if the task is appropriate to the level of knowledge and skill of the MA-C and is within the scope of authorized tasks of the MA-C listed in § 9515.1.

9513.2

MA-Cs shall not practice independently but shall work under the supervision of an RN or LPN.

9513.3

The delegation or assignment of a task shall comply with the standards for delegation and assignment listed in 17 DCMR § 5415 (Registered Nurse) and delegation and assignment listed in 17 DCMR § 5515 (Licensed Practical Nurse). Nursing care tasks that may be delegated or assigned shall be determined by:

(a) The knowledge and skills of the MA-C;

(b) Verification of the clinical competence of the MA-C by the employing agency;

(c) The stability of the client's condition, including factors such as predictability, absence of risk of complication, and rate of change; and

(d) The variables in each health care setting which include, but are not limited to:

(1) The accessible resources and established policies, procedures, practices, and channels of communication that lend support to the type of nursing tasks being delegated to the MA-C;

(2) The complexity and frequency of care needed by a given client population; and

(3) The accessibility of a registered nurse (RN) or licensed practical nurse (LPN).

9513.4

The MA-C shall not perform a task involving the administration of drugs if:

(a) The administration of drugs requires a calculation of the dosage of the drug or the conversion of the dosage;

(b) The supervising nurse is unavailable either in person or by telephone to monitor the progress of the client and the effect of the drug on the client;

(c) The client is not stable or has changing health care needs; or

(d) The MA-C has not been prepared by training to perform the delegated or assigned task. Upon such delegation or assignment, the MA-C shall immediately inform the supervising nurse of his or her inability by training to perform the delegated task.

D.C. Mun. Regs. tit. 17, r. 17-9513

Final Rulemaking published at 65 DCR 11404 (8/23/2019)