D.C. Mun. Regs. tit. 17, § 9513
Assignment and Delegation of Nursing Care Tasks to Medication Aides
Effective Aug 23, 201966 DCR 11404Authority: Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1203.02(14) (2016 Repl.), and Mayor’s Order 98-140, dated August 20, 1998 Source: Final Rulemaking published at 66 DCR 11404 (August 23, 2019).District of Columbia, Office of the Secretary
9513.1 An RN or LPN may assign or delegate tasks to an MA-C if the task is appropriate to the level of knowledge and skill of the MA-C and is within the scope of authorized tasks of the MA-C listed in § 9515.1.
9513.2 MA-Cs shall not practice independently but shall work under the supervision of an RN or LPN.
9513.3 The delegation or assignment of a task shall comply with the standards for delegation and assignment listed in 17 DCMR § 5415 (Registered Nurse) and delegation and assignment listed in 17 DCMR § 5515 (Licensed Practical Nurse). Nursing care tasks that may be delegated or assigned shall be determined by:
- (a) The knowledge and skills of the MA-C;
- (b) Verification of the clinical competence of the MA-C by the employing agency;
- (c) The stability of the client's condition, including factors such as predictability, absence of risk of complication, and rate of change; and
- (d) The variables in each health care setting which include, but are not limited to:
- (1) The accessible resources and established policies, procedures, practices, and channels of communication that lend support to the type of nursing tasks being delegated to the MA-C;
- (2) The complexity and frequency of care needed by a given client population; and
- (3) The accessibility of a registered nurse (RN) or licensed practical nurse (LPN).
9513.4 The MA-C shall not perform a task involving the administration of drugs if:
- (a) The administration of drugs requires a calculation of the dosage of the drug or the conversion of the dosage;
- (b) The supervising nurse is unavailable either in person or by telephone to monitor the progress of the client and the effect of the drug on the client;
(c) The client is not stable or has changing health care needs; or
(d) The MA-C has not been prepared by training to perform the delegated or assigned task. Upon such delegation or assignment, the MA-C shall immediately inform the supervising nurse of his or her inability by training to perform the delegated task.
SOURCE: Final Rulemaking published at 66 DCR 11404 (August 23, 2019).