Build an RN Delegation Plan
Build a delegation plan, sign off competency, log supervision, then sign & file it to the resident’s Documents.
RN delegation in Washington is documentation-heavy: the delegating nurse defines the task, records the resident’s consent, signs off caregiver competency, and logs supervision visits (DSHS 14-484) — and the written delegation must be kept in the resident record (WAC 246-840-930). VentoFlo keeps the whole chain in one place: build the plan, push the task into daily care on activation, document competency and supervision, then sign and file the plan straight into the resident’s Documents, where it carries distinct RN, provider, and family/POA signatures.
Step by step
- 1
Create the delegation plan
The delegating RN chooses the resident, records the WAC 246-840-930 consent and the stable-and-predictable precondition, and adds the delegated nursing task with a clear, specific name.
- 2
Activate the plan
Activating the plan pushes the delegated task into the resident’s daily care — it doesn’t live in a separate silo.
- 3
Sign off caregiver competency
Document the caregiver’s competency — training method, evaluation methods, dates, and return demonstration — mapped to DSHS 14-484.
- 4
Log the supervision visit
Record the RN’s supervision visit with purpose, duration, and findings, satisfying the ongoing supervision requirement.
- 5
Sign & file the plan
The delegating RN applies an electronic signature (RCW 1.80); VentoFlo generates the WAC-formatted plan PDF and files it to the resident’s Documents as “RN Delegated Plan,” marked RN Signed — and the provider and family/POA can add their own signatures to the same document.
- 6
Find it in the resident’s record
The administrator opens the resident’s Documents to see the signed plan, then downloads or views the WAC-formatted PDF — ready for inspection.
Why it matters
- WA nurse delegation (WAC 246-840) requires documented consent, competency, and ongoing supervision — and a written delegation kept in the resident record for six years. This flow produces all of it.
- Distinct RN, provider, and family/POA signatures on one filed document produce a complete, defensible record without chasing paper.
- Because the delegated task lands in daily tasks on activation, delegation drives care delivery instead of sitting in a binder.
