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The document explains when delegation and assignment may be applied, clarifies that it does not cover handoffs between similarly licensed providers, and defines key roles such as delegator, delegatee, and accountability. It also outlines responsibilities related to competence validation, scope-of-practice limits, and what cannot be delegated, including nursing judgment and critical decision making.",{"@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/national-guidelines-for-nursing-delegation-effective-date-4292019/467888/",{"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/national-guidelines-for-nursing-delegation-effective-date-4292019/467888.png","ImageObject",300,407,{"name":92,"@type":93},"McQueen","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the main purpose of the National Guidelines for Nursing Delegation?","Question",{"text":113,"@type":114},"They standardize the nursing delegation process based on research evidence and apply to APRNs, RNs, and LPN/VNs when the Nurse Practice Act is silent.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"When do the guidelines allow delegation versus assignment?",{"text":118,"@type":114},"Delegation applies when a nurse permits a specific nursing activity beyond the delegatee’s traditional role with additional education, training, and validated competence. Assignment covers routine care and procedures within the authorized scope or routine functions.",{"name":120,"@type":111,"acceptedAnswer":121},"What responsibilities cannot be delegated under these guidelines?",{"text":122,"@type":114},"Nursing judgment, clinical reasoning, and critical decision making cannot be delegated, and the delegator cannot transfer such judgment-related responsibilities.","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},467888,1791158132,{"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":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},5909890329169,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","National Guidelines for Nursing Delegation  \nEffective Date: 4/29/2019  \nStatus: Replaces NCSBNandANA 2010 Joint Statement on Delegation  \nWritten by: NCSBN – ANA  \nJointly Adopted by: NCSBN Board of Directors /ANA Board of Directors  \nI. Purpose  \nDelegation is an essential nursing skill. Building on previous work of NCSBN and the American Nurses Association (ANA), this joint statement reflects an effort to standardize the nursing delegation process based on research findings and evidence in the literature and is applicable to all levels of nursing licensure (advanced practice registered nurse [APRN], registered nurse [RN], licensed practical/vocational nurse [LPN/VN]) where the nurse practice act (NPA) is silent.  \nThese guidelines can be applied to:  \n• APRNs when delegating to RNs, LPN/VNs and assistive personnel (AP)  \n• RNs when delegating to LPN/VNs and AP  \n• LPN/VNs (as allowed by their state/jurisdiction) when delegating to AP.  \nNote: These guidelines do not apply to the transfer of responsibility for care of a patient between licensed health care providers (e.g., RN to another RN or LPN/VN to another LPN/VN), which is considered a handoff (Agency for Healthcare Research and Quality, 2015).  \nIntroduction  \nHealth care is continuously changing and necessitates adjustment for evolving roles and responsibilities of licensed health care providers and assistive personnel. The abilities to delegate, assign and supervise are critical competencies for every RN. It is important to note that states/jurisdictions have different laws and rules/regulations about delegation, and it is the responsibility of all licensed nurses to know what is permitted in their jurisdiction. When certain nursing care needs to be delegated, it is imperative that the delegation process and the jurisdiction NPA be clearly understood so that it is safely, ethically and effectively carried out.  \nThe decision of whether or not to delegate or assign is based upon the RN’s judgment concerning the condition of the patient, the competence of all members of the nursing team and the degree of supervision that will be required of the RN if a task is delegated. The difference between delegation and assignment has been a source of debate for years.  \nDefinitions  \nAccountability: “To be answerable to oneself and others for one’s own choices, decisions and actions as measured against a standard…”(American Nurses Association, 2015, p. 41) .  \nDelegated Responsibility: A nursing activity, skill or procedure that is transferred from a licensed nurse toa delegatee.  \nDelegatee: One who is delegated a nursing responsibility by either an APRN, RN or LPN/VN (where jurisdiction NPA allows), is competent to perform it and verbally accepts the responsibility. A delegatee may be an RN, LPN/VN or AP.  \nDelegator: One who delegates a nursing responsibility. A delegator may be APRN, RN, or LPN/VN (where jurisdiction NPA allows) .  \nAssignment: The routine care, activities and procedures that are within the authorized scope of practice of the RN or LPN/VN or part of the routine functions of the AP.  \nLicensed Nurse: A licensed nurse includes APRNs, RNs and LPN/VNs. In some states/jurisdictions, LPN/VNs may be allowed to delegate.  \nAssistive Personnel (AP): Any assistive personnel trained to function in a supportive role, regardless of title, to whom a nursing responsibility may be delegated. This includes but is not limited to certified nursing assistants or aides (CNAs), patient care technicians, CMAs, certified medication aids, and home health aides (formerly referred to as ‘‘unlicensed”assistive personnel [UAP] ) .  \nWhen performing a fundamental skill on the job, the delegatee is considered to be carrying out an assignment. The routine care, activities and procedures assigned are those which would have been included in the delegatee’s basic educational program. A licensed nurse is still responsible for ensuring an assignment is carried out completely and correctly. Deleg","cbCaijCLaNdqMgPQ","https://ap.wps.com/l/cbCaijCLaNdqMgPQ","pdf",393386,"English","# Purpose\n# Introduction\n# Definitions\n## Accountability\n## Delegated Responsibility\n## Delegatee and Delegator\n## Assignment\n## Licensed Nurse and Assistive Personnel","[{\"question\":\"What is the main purpose of the National Guidelines for Nursing Delegation?\",\"answer\":\"They standardize the nursing delegation process based on research evidence and apply to APRNs, RNs, and LPN/VNs when the Nurse Practice Act is silent.\"},{\"question\":\"When do the guidelines allow delegation versus assignment?\",\"answer\":\"Delegation applies when a nurse permits a specific nursing activity beyond the delegatee’s traditional role with additional education, training, and validated competence. Assignment covers routine care and procedures within the authorized scope or routine functions.\"},{\"question\":\"What responsibilities cannot be delegated under these guidelines?\",\"answer\":\"Nursing judgment, clinical reasoning, and critical decision making cannot be delegated, and the delegator cannot transfer such judgment-related responsibilities.\"}]","National Guidelines for Nursing Delegation - Effective Date 4/29/2019 | PDF",1790773525,25]