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As such, an opinion is not a regulation of the Board and does not have the force and effect of law. It is issued as a guideline to licensees who wish to engage in safe nursing practice.  \nOpinion:  \nRoles of Nurses in the Supervision and Delegation of Nursing Tasks to Unlicensed Personnel  \nApproved Date: 6/1987  \nRevised: 1/1988; 2/1991; 1/1993; 12/1993; 4/2001; 10/2002; 6/2003; 2/2012; 4/2014; 10/2014; 12/2018; 10/2019; 4/2023; 6/2025  \nEditorial Revisions: 2/2005; 1/2011; 1/2012; 5/2012; 4/2018; 6/2018; 11/2024  \nReviewed:  \n1/2012; 9/2012; 4/2014  \nAccountability and Responsibility of Nurses  \nIn accordance with KRS 314.021(2), nurses are responsible and accountable for making decisions that are based upon the individuals’ educational preparation and current clinical competence in nursing and requires licensees to practice nursing with reasonable skill and safety. Nursing practice should be consistent with the Kentucky Nursing Laws , established standards of practice, and be evidence based.  \nRationale for Advisory Opinion  \nThe Board has received numerous inquiries related to the role of nurses in delegation. The Board has issued the following advisory opinion statement.  \nPage 2 of 11  \nAdvisory Opinion  \n“When certain aspects of nursing care need to be delegated beyond the traditional role and assignment of a care provider, it is imperative that the delegation process and the state nurse practice act (NPA) be clearly understood so that it is safely and effectively carried out.” (National Council State Boards of Nursing, 2019) .  \n“Only a licensed nurse can delegate  ” The nurse is responsible, provides direction, determines who is going to carry out the delegated responsibility, and assists with or performs the responsibility if the nurse deems that delegation is appropriate under the given circumstances. (NCSBN and ANA Joint Position Statement, 2019)  \nIn accordance with KRS 314.021(2), nurses are held responsible and accountable for their decisions regarding the supervision and delegation of nursing acts to unlicensed personnel who provide nursing assistance, based upon the nurse's educational preparation and current clinical competence in nursing.  \nUnlicensed Personnel  \nKentucky Administrative Regulation, 201 KAR 20:400 Section 1(14) defines an“unlicensed person” as “an individual, other than a nurse, the client, or the client’s family, legal guardian, or delegatee, who functions in an assistant or subordinate role to the nurse.” Unlicensed personnel (UAP) are trained to perform specific healthcare related job duties and include but are not limited to certified nursing assistants (CNAs), medical assistants (MAs), home health aides, dialysis technicians (DTs), and certified medication aides (CMA I and CMA II) . UAPs function as nursing support through delegation and carry out nursing tasks (NCSBN and ANA Joint Position Statement, 2019) .  \n• CMA I is defined as an individual who receives training preparing for a role in administering topical and oral medications and who works under the supervision of a licensed nurse.  \n• CMA II is defined as an individual who receives training preparing for a role in administering topical and oral medications (CMA I) as well as t","cbCaimDGM38zKxSX","https://ap.wps.com/l/cbCaimDGM38zKxSX","pdf",466168,"English","# Advisory Opinion Statement\n## Role of Nurses in Supervision and Delegation\n## Accountability and Responsibility of Nurses\n## Rationale for Advisory Opinion\n## Unlicensed Personnel (UAP)\n## Delegation Process and Requirements","[{\"question\":\"Are advisory opinion statements regulations or legally binding rules?\",\"answer\":\"An advisory opinion is a guideline for licensees and does not have the force and effect of law like a regulation.\"},{\"question\":\"What responsibilities remain with a licensed nurse when delegation occurs?\",\"answer\":\"The nurse remains responsible, provides direction, determines who carries out the delegated responsibility, and evaluates outcomes to ensure safe practice.\"},{\"question\":\"Who qualifies as unlicensed personnel (UAP) under Kentucky guidance?\",\"answer\":\"UAPs are individuals other than a nurse or the client (and related parties) who function in an assistant or subordinate role; examples include CNAs, medical assistants, home health aides, dialysis technicians, and certified medication aides.\"}]","AOS - 15 - Supervision and Delegation of Nursing Tasks to Unlicensed Personnel - Advisory Opinion | PDF",1790773530,28]