64B9-14.0015. Delegated Tasks

(1) A registered nurse may delegate tasks within the nurse’s scope of practice to a qualified medication aide (QMA), a certified nursing assistant (CNA) or home health aide (HHA), hereafter “delegatee”,  who the registered nurse has determined is competent. Consideration of competence by the registered nurse and delegation of the task shall include:

(a) Comprehensive initial and ongoing assessment of the patient’s needs by a registered nurse,

(b) Consideration of the complexity of the delegated task,

(c) Experience and skill of the delegatee,

(d) Willingness of the delegatee to perform the task,

(e) Training and demonstrated safe performance of the delegated task by the delegatee,

(f) Consent of the patient, the patient’s guardian, or designated health care surrogate to accept performance of the task by a delegatee.

(2) A registered nurse may delegate administration of medications by a CNA or HHA that meets the requirements of Sections 464.2035, and 400.489, F.S., to a patient of a home health agency, or may delegate administration of medications to a resident of a nursing home facility by a CNA who is designated as a QMA pursuant to Sections 400.211(5) and 464.2035, F.S.

(3) Each registered nurse assigned to a patient must document her or his supervision and approval for the CNA or HHA to perform the delegated nursing task. A registered nurse may rescind a delegated task at any time. In addition to supervision by a registered nurse, a QMA may be supervised by a licensed practical nurse.

Rulemaking Authority 400.211(5), 400.489, 464.2035(3), 464.0156(3) FS. Laws Implemented 400.211(5), 464.0156 FS, 464.2035 FS. History–New 4-29-21, Amended 3-13-24.