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 (Example Form)", is a practical guide for Registered Nurses (RNs) to delegate medication administration tasks to unlicensed assistive personnel (UAPs). This form helps solve the problem of ensuring safe and effective medication management in individuals with intellectual or developmental disabilities, while also promoting delegation best practices.

The form requires key information such as the individual's name, medications, and dosing instructions. Important sections include the "Medication Administration" and "Delegation Criteria" areas, which outline the necessary steps for safe medication administration and delegation. This form is commonly used in situations where individuals require assistance with self-administered medications, and UAPs need guidance on how to administer medications correctly.

The TX HHS Form 8008 is specifically designed for use in stable and predictable conditions, as defined by the Texas Board of Nursing (TX BON). The form's instructions emphasize the importance of verifying competency, supervising appropriately, and ensuring that the five rights of delegation are met. By following this form, RNs can effectively delegate medication administration tasks to UAPs while maintaining accountability for the task.