Build an RN Delegation Plan
Delegate a nursing task, sign off competency, and log supervision — end to end.
RN delegation in Washington is a documentation-heavy process: the delegating nurse defines the task, signs off caregiver competency, and logs supervision visits (DSHS 14-484). VentoFlo keeps the whole chain in one place — and once a plan is activated, the delegated task flows straight into the caregiver’s daily task list.
Step by step
- 1
Create the delegation plan
Choose the resident and delegating RN, set effective and expiration dates, and add the delegated task. Give the task a clear, specific name so it’s unmistakable in daily care.
- 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
Record competency sign-off
Document the caregiver’s competency: training method, evaluation methods used, dates, and confirmation that training is complete and the credential is active — mapped to DSHS 14-484.
- 4
Log the supervision visit
Record the RN’s supervision visit with findings and the decision to continue delegation, satisfying the ongoing supervision requirement.
- 5
See it in daily tasks
The delegated task now appears in the resident’s daily task list, so the caregiver performs and logs it alongside every other ADL.
Why it matters
- WA nurse delegation (WAC 246-840) requires documented competency and ongoing supervision — gaps here are a common citation.
- Keeping the plan, competency sign-offs, and supervision visits together produces the DSHS 14-484 record without chasing paper.
- Because the delegated task lands in daily tasks, delegation actually drives care delivery instead of sitting in a binder.
