9313. ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO HOME HEALTH AIDES

9313 ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO HOME HEALTH AIDES 9313.1 A licensed nurse or authorized health care professional may assign or delegate tasks to HHAs that are among the authorized tasks listed in § 9315. 9313.2 HHAs shall not practice independently but shall work under the supervision of a licensed nurse or other licensed health care professional. 9313.3 The delegation or assignment shall comply with the standards for delegation listed in 17 DCMR § 5415. Nursing care tasks that may be delegated shall be determined by: The knowledge and skills of the HHA; Verification of the clinical competence of the HHA by the employing agency; The stability of the client’s condition, including factors such as predictability, absence of risk of complication, and rate of change in health status; and The variables in each health care setting which include, but are not limited to: 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 home health aide; The complexity and frequency of care needed by a given client population; and The accessibility of a licensed nurse or other license health care professional. 9313.4 Nursing tasks that inherently involve on-going assessment, interpretation, or decision making that cannot be logically separated from one or more procedures shall not be delegated to the HHA. SOURCE: Final Rulemaking published at 59 DCR 8359 (July 13, 2012); as amended by Final Rulemaking published at 64 DCR 9594 (September 29, 2017). District of Columbia Municipal Regulations Business, Occupations, and Professionals 17 DCMR § 9313