Nurse Delegation - Training Course for Nursing Assistants and Home Care Aides in the State of Washington - November 2023

Sep 30, 2026

A nurse delegation training workbook for nursing assistants and home care aides in Washington State, developed jointly by Washington State DSHS Aging and Long-Term Support Administration and Developmental Disabilities Administration. The course outlines completion requirements, lesson structure, learning goals, and success tips, then presents guided lessons on nurse delegation law, roles and responsibilities, communication checklists, and practice exercises. It also covers client care fundamentals across major body systems, including skin care, pressure injury prevention, and major systems such as cardiovascular and respiratory.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages146

Reading Time6 h 8 min

AccessFree to download

Getting Started

Introduction

Introduction and Course Goals

Completion Requirements

Lesson Outline & Preview

Lesson Process

Lesson Markers or Icons

Tips for Success

Lesson 1

Nurse Delegation Law & Your Role in Delegation

Overview and Learning Objectives

What is Nurse Delegation

The Five Conditions in Nurse Delegation

Roles and Responsibilities: The Client

Roles and Responsibilities: The Delegating RN

Roles and Responsibilities: The Nursing Assistant / Home Care Aide

Roles and Responsibilities: The Case Manager

Roles and Responsibilities: Agency Supervisor

Roles and Responsibilities: The Employer/Administrator

Nurse Delegation Communication Checklist

Lesson Summary

Practice Exercise

Lesson 2

Client Care and the Body Systems

Overview and Learning Objectives

Client Profile

Major Body Systems

Nurse Delegation for Nursing Assistants and Home Care Aides Training Course for Nursing Assistants and Home Care Aides in the State of Washington November 2023 DSHS 22-1736 (Rev. 11/23) This workbook project is a joint effort of Washington State Department of Social and Health Services (DSHS) Aging and Long-Term Support Administration and Developmental Disabilities Administration. We want to thank the following individuals and agencies for their help: Jo Lynn Abernathy, Madeline Alexander, Elaine Blum R.N.D., Bonnie Brian-Caldwell, Nancy Carter M.D., Colleen Erskine, Karen Fogarty R.N., Terry Gammage R.N., Saif Hakim, Joe Honda, Agnes Hubble R.N., Jacquie Luck, Paula Meyer R.N., Leann Riley, Catherine Rucker, Alice Santolla R.N. Adult Family Homes of Washington State Medicine Shoppe Pharmacy Retirement Chalet AFH Division of Developmental Disabilities, DSHS Argentum-Northwest Chapter Artesian Place Assisted Living South Puget Sound Community College LeadingAge Washington Washington Health Care Association Washington State Department of Health Washington State Nursing Care Quality Assurance Commission Washington State Pharmacy Board Adult Family Home Council The many other reviewers who contributed to this Workbook. Table of Contents Getting Started Introduction.............................................................................................................. 1 Introduction and Course Goals .................................................................................................. 1 Completion Requirements .......................................................................................................... 2 Lesson Outline & Preview ........................................................................................................... 3 Lesson Process .............................................................................................................................. 4 Lesson Markers or Icons.............................................................................................................. 5 Tips for Success ............................................................................................................................. 6 Lesson 1 Nurse Delegation Law & Your Role in Delegation................................................7 Overview and Learning Objectives............................................................................................ 7 What is Nurse Delegation ........................................................................................................... 8 The Five Conditions in Nurse Delegation ................................................................................. 8 Roles and Responsibilities: The Client.................................................................................... 15 Roles and Responsibilities: The Delegating RN...................................................................... 15 Roles and Responsibilities: The Nursing Assistant / Home Care Aide................................ 17 Roles and Responsibilities: The Case Manager ....................................................................... 18 Roles and Responsibilities: Agency Supervisor ...................................................................... 19 Roles and Responsibilities: The Employer/Administrator .................................................... 19 Nurse Delegation Communication Checklist......................................................................... 20 Lesson Summary ........................................................................................................................ 21 Practice Exercise ......................................................................................................................... 24 Practice Exercise Answer Key......................................................................................

FAQs

Who is this training course intended for?

The workbook is designed for nursing assistants and home care aides in the State of Washington.

What topics are covered in Lesson 1?

Lesson 1 covers nurse delegation law and the learner’s role, including what nurse delegation is, the five conditions, and roles and responsibilities of key parties, plus a communication checklist and practice exercise.

What does Lesson 2 focus on?

Lesson 2 focuses on client care and major body systems, including cardiovascular and respiratory systems, skin care, and related topics such as pressure injuries and skin breakdown.

Sep 30, 2026

Uploaded by Aria Callaghan