Editing RN Delegation and Supervision (section)

== What the RN cannot delegate ==

The following are non-delegable RN activities:

* Initial and comprehensive assessment, and any assessment requiring interpretation or judgment.
* Formulating nursing diagnoses.
* Establishing goals and outcomes and creating or revising the plan of care.
* Evaluation of client progress and of the effectiveness of care.
* Initial client and family teaching, and evaluation of learning.
* Care of an unstable, deteriorating, or unpredictable client.
* Triage decisions and the exercise of nursing judgment in general.
* Most invasive or high-risk procedures when the delegatee is unlicensed, including intravenous medication administration and blood product administration.

A memory aid used widely is that the RN may not delegate anything that requires the nursing process: '''A'''ssess, '''D'''iagnose, '''P'''lan, '''E'''valuate, plus '''T'''each. Implementation of specified tasks is what gets delegated.