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Registered nurse reviewing a care plan

Nurse Delegation

RN-supervised delegation that empowers trained aides to safely perform specific clinical tasks — so clients with complex needs can stay where they belong: at home.

Nurse and caregiver collaborating
What It Is

Understanding Nurse Delegation in Washington State


Nurse delegation is a formal process, recognized under Washington State law, in which a Registered Nurse Delegator (RND) authorizes and trains a qualified, certified caregiver to perform specific nursing tasks for a particular client. The nurse remains responsible for assessing the client, training the caregiver on that individual's needs, and providing ongoing supervision.

This program exists for an important reason: it allows individuals with ongoing medical needs to receive certain clinical care from a trusted aide in their own home — rather than relying on a nurse for every single task or moving into an institutional setting. It expands access to care while keeping safety and accountability firmly in place.

At Golden Years, our founder is a Registered Nurse Delegator, and nurse delegation is a core part of how we help clients live safely and independently at home.

Delegated Tasks

Clinical Tasks We Can Delegate & Oversee


Depending on the client's needs and the nurse's assessment, delegated and supervised tasks may include:

  • Medication administration oversight
  • Blood glucose monitoring
  • Insulin administration
  • Gastrostomy (G-tube) feeding & care oversight
  • Catheter care & maintenance
  • Ostomy care support
  • Administration of certain prescribed treatments
  • Other clinical tasks as authorized by the RN

Specific delegable tasks are determined by the Registered Nurse Delegator based on each client's individual assessment and applicable Washington State regulations.

Caregiver assisting client at home
Who It Helps

Who Benefits from Nurse Delegation?


  • Clients with complex medical needsIndividuals who require ongoing clinical tasks but want to remain in their own home rather than a facility.
  • Families seeking reliable oversightLoved ones who need consistent clinical support without the cost of full-time, around-the-clock nursing.
  • Supported-living residentsPeople in community or supported-living settings who need certain delegated tasks performed safely.
  • Long-term condition managementClients managing diabetes, feeding tubes, catheters, or similar ongoing needs.
Every delegation at Golden Years is performed by a licensed Registered Nurse Delegator, follows Washington State's Nurse Delegation Program requirements, and includes ongoing supervision and re-assessment to keep clients safe.

Ask About Nurse Delegation

Wondering whether nurse delegation is right for your situation? Our RN team will walk you through it and assess your needs.

Contact Our Nurse Delegator