TX HHS Form 8010. ICF/IID Verification of Delegated Tasks to Unlicensed Personnel and Medication Administration by Unlicensed Personnel (Example Form)

The TX HHS Form 8010 is an example form for verifying delegated tasks to unlicensed personnel in Individualized Comprehensive Development (ICF)/Intellectual Disability (ID) settings. This form helps solve the problem of ensuring that unlicensed staff are properly trained and authorized to perform specific tasks, such as medication administration.

The form requires the employee's name, signature, date delegated, and the task(s) being delegated, along with the signature of the delegating RN. This documentation is essential for maintaining accurate records and ensuring compliance with regulations. The form can be used in various situations where unlicensed personnel are involved in providing care or services to individuals with intellectual disabilities.

Key features of this form include the requirement for employee information, task delegation, and RN signature. By using this form, organizations can ensure that their staff are properly trained and authorized to perform delegated tasks. This is particularly important in ICF/ID settings where unlicensed personnel may be involved in providing care or services.

• This form is used for verifying delegated tasks to unlicensed personnel in ICF/ID settings.
• It requires employee information, task delegation, and RN signature.
• It helps ensure compliance with regulations and maintains accurate records.