[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-467912-105":59,"doc-detail-467912-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","criteria-for-determining-scope-of-practice-for-licensed-nurses-and-guidelines-for-determining-acts-that-may-be-delegated-or-assigned-by-licensed-nurses-revised-march-23-2023","CRITERIA FOR DETERMINING SCOPE OF PRACTICE FOR LICENSED NURSES - AND GUIDELINES FOR DETERMINING ACTS THAT MAY BE DELEGATED OR ASSIGNED BY LICENSED NURSES - Revised March 23, 2023","","Defines the criteria and decision-making process for determining appropriate nursing acts at various practice levels in West Virginia. Establishes guidance for acts that may be delegated to licensed practical nurses and acts that may be assigned to unlicensed assistive personnel. Emphasizes that delegation is not a simple yes-or-no question and depends on task complexity, client care needs, the delegatee’s education and skills, and availability of essential resources and supervision. Includes key legal standards context and core concepts such as accountability, competence, delegation, and assignment.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/criteria-for-determining-scope-of-practice-for-licensed-nurses-and-guidelines-for-determining-acts-that-may-be-delegated-or-assigned-by-licensed-nurses-revised-march-23-2023/467912/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/criteria-for-determining-scope-of-practice-for-licensed-nurses-and-guidelines-for-determining-acts-that-may-be-delegated-or-assigned-by-licensed-nurses-revised-march-23-2023/467912.png","ImageObject",300,407,{"name":92,"@type":93},"Grenda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What factors determine whether nursing practice can be delegated or assigned?","Question",{"text":113,"@type":114},"Delegation or assignment depends on the complexity of the task, the client’s care needs assessed by the appropriate licensed nurse, the licensed practical nurse or unlicensed person’s education, skills, and ability, and the availability/accessibility of essential resources and supervision during performance.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Do the guidelines have the force and effect of law?",{"text":118,"@type":114},"The guidelines provide comprehensive criteria and examples, but they do not have the force and effect of law except as provided through the Legal Standards of Practice referenced in the document.",{"name":120,"@type":111,"acceptedAnswer":121},"What does accountability mean in the context of delegation or assignment?",{"text":122,"@type":114},"Accountability means being responsible or answerable for actions or inactions of oneself or others during delegation or assignment.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},467912,1791377970,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":26,"preview_page_count":4},7971474921005,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","CRITERIA FOR DETERMINING  \nSCOPE OF PRACTICE FOR LICENSED NURSES  \nAND  \nGUIDELINES FOR DETERMINING ACTS  \nTHAT MAY BE DELEGATED OR ASSIGNED  \nBY LICENSED NURSES  \nRevised by: The West Virginia Board of  \nRegistered Nursesand  \nThe West Virginia State Board of Examiners for Licensed Practical Nurses  \nRevised March 23, 2023  \nINTRODUCTION  \nThe intent of this document is to present a process to determine acts appropriate to nursing at various levels and acts appropriate for delegation to the licensed practical nurse, as well as to those acts appropriate for assignment to unlicensed assistive personnel. Individuals must consult the law, applicable rules, position statements or guidelines in making a practice decision. Related law, rules, guidelines and statements are included in the Appendix of this document. Additional law, rules, guidelines or statements may be developed after the publication of this document. The nurse must assure that current publications are referenced when using the models in this publication.  \nChanges in health care delivery are occurring in health care organizations throughout West Virginia and the nation. These changes could lead to role confusion. In view of the mandates, of the West Virginia Board of Registered Nurses and the West Virginia State Board of Examiners for Licensed Practical Nurses to act in the best interest of public safety and health, the respective boards support professional collaboration to deliver competent care and treatment of the client in a safe, professional and cost-effective manner.  \nThe guidelines contained in this document provide comprehensive criteria and examples for use in the decision-making process required to determine acts that are appropriate to nursing at various levels and acts, appropriate for delegation to the licensed practical nurse as well as to those acts appropriate for assignment to unlicensed assistive personnel. The guidelines, however, do not have the force and effect of law except as provided through the Legal Standards of Practice (West Virginia Code of Legislative Rules Title 19-10 and West Virginia Code of Legislative Rules Title 10-3) .  \nMany nurses would like a yes or no answer to questions about the delegation of nursing practice, however, in most cases it is not that simple. The answer to most questions is it depends. It depends upon the complexity of the task to be delegated. It depends upon the care needs of the client, as assessed by the advanced practice registered nurse or registered professional nurse. It depends upon the educational preparation, skills, and ability of the licensed practical nurse or unlicensed person to whom the task is to be  \ndelegated/assigned. And, it depends upon the availability and accessibility of essential resources including supervision, while the task is being performed. Nursing judgment is the  \nessential element in every delegation or assignment decision (ANA Scope and Standards of Practice, 2021; NCSBN, 2016; NCSBN-ANA, 2019) .  \nLicensees are expected to read this entire document then refer back to the portions that will assist in making a final decision. Thus, this document is best used when an individual has the time to review all related information so the foundation for decision-making is present when a quick decision is required.  \nDEFINITIONS  \nAccountability Being responsible or answerable for actions or inactions of self or others during delegation or assignment (ANA Scope and Standards of Practice, 2021; ANA Code of Ethics, 2015; NCSBN-ANA, 2019) .  \nAdvanced Practice Registered Nurse “Advanced practice registered nurse” is “a registered nurse who has acquired advanced clinical knowledge and skills preparing him or her to provide direct and indirect care to patients as a certified nurse practitioner, certified nurse mid-wife, certified registered nurse anesthetist, or a clinical nurse specialist, who has completed a board approved graduate-level education program and who has passed a board-app","cbCaijEpOfi42xEj","https://ap.wps.com/l/cbCaijEpOfi42xEj","pdf",410954,24,"English","# Introduction\n## Purpose and decision-making principles\n## Role clarity and collaboration\n## Limits of the guidelines vs. legal force\n## Why “it depends” in delegation decisions\n# Definitions\n## Accountability\n## Advanced Practice Registered Nurse\n## License required to practice\n## Assignment\n## Competence\n## Delegation\n## Licensed Practical Nurse","[{\"question\":\"What factors determine whether nursing practice can be delegated or assigned?\",\"answer\":\"Delegation or assignment depends on the complexity of the task, the client’s care needs assessed by the appropriate licensed nurse, the licensed practical nurse or unlicensed person’s education, skills, and ability, and the availability/accessibility of essential resources and supervision during performance.\"},{\"question\":\"Do the guidelines have the force and effect of law?\",\"answer\":\"The guidelines provide comprehensive criteria and examples, but they do not have the force and effect of law except as provided through the Legal Standards of Practice referenced in the document.\"},{\"question\":\"What does accountability mean in the context of delegation or assignment?\",\"answer\":\"Accountability means being responsible or answerable for actions or inactions of oneself or others during delegation or assignment.\"}]","CRITERIA FOR DETERMINING SCOPE OF PRACTICE FOR LICENSED NURSES - AND GUIDELINES FOR DETERMINING ACTS THAT MAY BE DELEGATED OR ASSIGNED BY LICENSED NURSES - Revised March 23, 2023 | PDF",1790773546]