Go To Site Navigation


Nurse Delegation Program - Getting Started as a RND

What Is Nurse Delegation?

The Nurse Delegation Program, under Washington State law, allows nursing assistants working in certain settings to perform certain tasks--such as administration of prescription medications or blood glucose testing--normally performed only by licensed nurses. A registered nurse must teach and supervise the nursing assistant, as well as provide nursing assessments of the patient's condition.

What Is Required For A Registered Nurse To Do Nurse Delegation?

Any nurse registered in Washington State may delegate, but s/he may only do so according to the laws (RCW 18.79.260) and regulations (WAC 246-840-910 to 970) written by the Nursing Commission.

Some registered nurses contract with DSHS to provide this service. They agree to see Medicaid clients living in adult family homes, and are paid directly by the state to provide this service.

How Can I Contract With DSHS To Provide Nurse Delegation?

Registered nurses who wish to contract with the state are required to attend a free, all-day training session provided by the state. You must also complete a contract packet which you will receive at the class and provide the necessary documents (such as business license and proof of insurance) prior to being contracted.

When And Where Are The Trainings Held?

Training is scheduled every month except October and December. Trainings are held in locations where delegating nurses are needed. See the current training schedule.

How Do I Find Clients?

DSHS doesn't provide clients; you must market your services yourself. DSHS does distribute the current list of contracted delegating nurses to the case managers who authorize Nurse Delegation services for their Medicaid clients.

How Do I Get Nurse Delegation Forms?

You can download all of the mandatory forms from this website.