Nurse Delegation for Home Care Agencies

Home care agencies play a vital role in helping individuals remain in their homes while receiving the care they need. Seattle Nurse Delegation partners with home care agencies throughout the Seattle area to provide professional nurse delegation services that expand your service capabilities and help you serve clients with medication needs.

Expand Your Agency's Service Offerings

Many home care clients need more than assistance with daily activities—they need help managing medications. Without proper nurse delegation, your caregivers cannot legally administer medications, limiting the clients you can serve and the services you can provide.

By partnering with Seattle Nurse Delegation, your agency can:

• Serve More Clients: Accept clients who need medication assistance
• Retain Existing Clients: Continue serving clients as their care needs increase
• Differentiate Your Agency: Stand out from competitors who can't offer medication services
• Increase Revenue: Add medication management to your service menu
• Ensure Compliance: Meet Washington State requirements with professional RN oversight

Washington State's nurse delegation regulations are governed by WAC 246-840 and overseen by the Washington State Department of Health. Home care agencies must also comply with DSHS home and community services regulations.

How Agency Partnerships Work

We've designed our partnership model to integrate seamlessly with your agency's operations:

1. Client Identification

When you have a client who needs medication delegation—whether a new referral or an existing client whose needs have changed—contact us to initiate services. We'll gather basic information and schedule an in-home assessment.

2. In-Home Assessment

Our RN delegator visits the client's home to:

• Assess the client's condition and medication regimen
• Evaluate the home environment for safe medication storage and administration
• Review physician orders and medical history
• Determine if delegation is appropriate
• Obtain informed consent

3. Caregiver Training

We train your agency's caregivers assigned to the client:

• Verification of HCA credentials and core delegation training
• Client-specific medication training
• Hands-on competency demonstration
• Documentation requirements and procedures
• When to contact the RN or seek emergency care

4. Documentation

Complete delegation documentation is provided to your agency, including:

• Client assessment summary
• Delegation authorization forms
• Caregiver competency verification
• Medication administration protocols
• Instructions for the client's home

5. Ongoing Oversight

We provide the continued RN oversight required by WAC:

• Quarterly reassessments (every 90 days)
• As-needed visits for changes in client condition or medications
• Training for new caregivers as staffing changes occur
• Phone support for questions between scheduled visits

Benefits of Professional Delegation Partnership

• No Hiring Required: Access RN delegation services without hiring nursing staff
• Flexible Scaling: Use our services as needed—one client or many
• Compliance Assurance: Professional RN oversight meets all WAC requirements
• Quality Care: Your clients receive safe, appropriate medication management
• Staff Development: Your caregivers gain valuable skills and training
• Responsive Support: We're available when your team has questions

Types of Delegation Available

We provide delegation for a full range of services your clients may need:

• Medication administration (oral, topical, inhalers, eye/ear drops)
• Insulin injection delegation with diabetes-focused training
• G-tube feeding delegation
• Wound care and ostomy care delegation
• Catheter care delegation
• Respiratory care delegation (when appropriate)