TX HHS Form 8008. ICF/IID Nursing Special Needs: RN Delegation and Care Instructions for Assistive Personnel (Example Form)

The TX HHS Form 8008, ICF/IID Nursing Special Needs: RN Delegation and Care Instructions for Assistive Personnel, is an example form that helps solve the problem of delegating medication administration tasks to unlicensed assistive personnel (UAP) in stable and predictable conditions. This form is typically used by Registered Nurses (RNs) who need to delegate tasks to UAPs, such as Certified Nurse Assistants (CNAs) or Certified Medication Aides (CMAs), while ensuring the safe administration of medications.

The form outlines key responsibilities for RNs and UAPs, including verifying competency, supervising, and determining whether the five rights of delegation can be met. It also emphasizes the importance of individual approval from the individual, caregiver, or IDT member to delegate tasks in writing. The form highlights specific procedures for administering medications, such as removing a unit dose from a previously dispensed container, verifying the medication order, and accurately recording the time and dose given.

This example form is essential for ensuring the safe administration of medications by UAPs under the supervision of RNs. By following the guidelines outlined in this form, healthcare professionals can ensure that medications are received safely and that individuals receive the correct dosage at the right time. Key points to note include:

• The form is used for delegating medication administration tasks to unlicensed assistive personnel (UAPs) in stable and predictable conditions.
• RNs must verify competency, supervise, and determine whether the five rights of delegation can be met.
• Individual approval from the individual, caregiver, or IDT member is required for delegating tasks in writing.