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NURSE DELEGATION INFORMATION & CONTRACT This packet is intended to inform you of what nursing delegation is and why a patient may need it. To complete the forms electronically click on or copy and
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How to fill out nurse delegation formsdshs

01
Obtain the necessary nurse delegation formsdshs from the Washington State Department of Health.
02
Fill out the patient's information including name, date of birth, and contact information.
03
Specify the tasks that are being delegated to the nurse including the specific care or treatment needed.
04
Include the nurse's information such as name, license number, and contact information.
05
Ensure that the forms are signed by both the delegating nurse and the receiving nurse.
06
Submit the completed nurse delegation formsdshs to the appropriate authority for approval.

Who needs nurse delegation formsdshs?

01
Nurses who are delegating tasks to other nurses or unlicensed assistive personnel need nurse delegation formsdshs.
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Nurse delegation formsdshs are documents used to authorize a specific nurse to delegate certain nursing tasks to unlicensed assistive personnel.
Nurses who work in healthcare settings where delegation of nursing tasks is necessary are required to file nurse delegation formsdshs.
Nurse delegation formsdshs can be filled out by providing information about the nurse, the tasks to be delegated, the unlicensed assistive personnel, and any necessary training or supervision.
The purpose of nurse delegation formsdshs is to ensure safe and effective delegation of nursing tasks to unlicensed assistive personnel.
Information such as the name of the nurse delegating tasks, the tasks to be delegated, the name of the unlicensed assistive personnel, and any required training or supervision must be reported on nurse delegation formsdshs.
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