New Jersey Board of Nursing

This model is base on N.J.A.C. 13:37-6.2 "Delegation of selected Nursing Task."

1. RN assessment of patient's nursing care needs completed?

   • If NO, STOP. Do assessment then proceed with a consideration of delegation.
   • If Yes, continue to the next step.

2. Is task within a licensed nurse's scope of practice?

   • If NO, STOP. Do not delegate.
   • If Yes, continue to the next step.

3. Is the unlicensed person identified and properly trained?

   • If NO, STOP. Provide and document training then proceed with a consideration of delegation.
   • If Yes, continue to the next step.

4. Can the task be performed without requiring judgement based on nursing knowledge?

   • If NO, STOP. Do not delegate.
   • If Yes, continue to the next step.

5. Are the results of the task reasonably predictable?

   • If NO, STOP. Do not delegate.
   • If Yes, continue to the next step.

6. Can the task be safely performed according to exact, unchanging directions?

   • If NO, STOP. Do not delegate.
   • If Yes, continue to the next step.

7. Can the task be performed without a need for complex observations or critical decisions?

   • If NO, STOP. Do not delegate.
   • If Yes, continue to the next step.

8. Can the task be performed without repeated nursing assessments?

   • If NO, STOP. Do not delegate.
   • If Yes, continue to the next step.

9. Can the task be performed properly without life threatening consequences?

   • If NO, STOP. Do not delegate.
   • If Yes, continue to the next step.

10. Is appropriate supervision available?

    • If NO, STOP. Do not delegate.
    • If Yes, continue to the next step.

11. There are no specific laws or rules prohibiting the delegation?

    • If NO, STOP. Do not delegate.
    • If Yes, continue to the next step.