Nurse Delegation Blog
Adult Family Home & Nurse Delegation Resources
Practical answers for Washington State families, AFH operators, and caregivers — from what a pre-placement assessment covers to how nurse delegation works.
All Articles
How to Schedule an RN Assessment for an AFH Move-In
When to book the mandatory RN pre-placement assessment before an adult family home move-in, what to prepare, and how to avoid a move-date delay.
What Happens During an Adult Family Home Assessment?
A step-by-step walkthrough of the RN pre-placement assessment before an AFH move-in — what the nurse evaluates, how long it takes, and what the written report contains.
How Much Does an Adult Family Home Assessment Cost in Washington?
What the mandatory RN pre-placement assessment costs before an AFH move-in, why it's not covered by Medicare or Medicaid, and why a flat $450 rate protects your timeline.
Adult Family Home Move-In Requirements in Washington: A Checklist
Everything Washington families need before a parent moves into an adult family home — the mandatory RN assessment, paperwork, and the 10-point checklist for move-in day.
The AFH Annual RN Visit & Reassessment in Washington: What to Expect
Washington adult family homes need an annual RN reassessment for each resident. What the yearly visit covers, how it differs from the pre-placement assessment, and who pays for it.
Questions to Ask When Touring an Adult Family Home in King County
A printable list of questions for adult family home tours across King County — licensing, staffing, medication management, RN delegation, and the assessment before move-in.
Choosing Senior Care in Seattle: A Complete Family Guide
How Seattle families evaluate adult family homes, assisted living, and in-home care — what to look for on tours, red flags to watch for, and the mandatory assessment before AFH move-in.
Adult Family Home Alternatives: What Are Your Options?
Beyond adult family homes: assisted living, memory care, nursing homes, and in-home care compared for Washington families — including which options require an RN assessment.
AFH vs Assisted Living in Washington: Key Differences
Adult family homes and assisted living facilities in Washington differ in size, staffing, cost, and regulation. Compare them side by side to find the right fit for your parent.
AFH vs Nursing Home: Which Is Right for Your Parent?
Adult family homes and nursing homes serve different needs. Compare cost, staffing, environment, and care levels to decide which is right for your parent in Washington State.
Delegation, Prioritization & Assignment in Nursing: A Complete Guide
How registered nurses delegate, prioritize, and assign clinical tasks in Washington adult family homes — the five rights of delegation and what AFH operators should expect.
Unlicensed Assistive Personnel in Nursing: Roles, Limits & Delegation
Who are unlicensed assistive personnel (UAPs), what can they legally do, and how does RN delegation expand their role in Washington adult family homes and in-home care?
Caregiver Clinical Tasks Allowed Under WA Nurse Delegation
Which clinical tasks can caregivers legally perform in Washington State? Medication administration, insulin, wound care, G-tube feedings, and more — and what must happen first.
RN Delegation Explained: What It Is and How It Works in Washington State
A beginner's guide to nurse delegation in Washington — what it is, why WAC 246-840 requires it, which tasks can be delegated, and the RN's ongoing supervisory role.