Section 1300.20  Nursing Delegation


a)         For the purposes of this Section:


"Delegation" means transferring to an individual the authority to perform a selected nursing activity or task, in a selected situation.


"Nursing Activity" means any work requiring the use of knowledge acquired by completion of an approved program for licensure, including advanced education, continuing education, and experience as a licensed practical nurse or professional nurse, as defined by this Part.


b)         Nursing shall be practiced by licensed practical nurses, registered professional nurses, and advanced practice nurses. In the delivery of nursing care, nurses work with many other licensed professionals and other persons. An advanced practice nurse may delegate to registered professional nurses, licensed practical nurses, and others persons.


c)         A registered professional nurse shall not delegate any nursing activity requiring the specialized knowledge, judgment, and skill of a licensed nurse to an unlicensed person, including medication administration. A registered professional nurse may delegate nursing activities to other registered professional nurses or licensed practical nurses.


d)         A registered professional nurse may delegate medication administration to a licensed medication aide in a qualified facility as authorized by Section 80-20 of the Act.


e)         A registered nurse may delegate tasks to other licensed and unlicensed persons. A licensed practical nurse who has been delegated a nursing activity shall not re‑delegate the nursing activity. A registered professional nurse or advanced practice nurse retains the right to refuse to delegate or to stop or rescind a previously authorized delegation.  (Section 50-75 of the Act)


f)         Practice in End Stage Renal Dialysis Facilities


1)         For the purposes of this Section only, an individual working as a dialysis technician in a Medicare-certified End Stage Renal Dialysis Facility or a facility regulated under the End Stage Renal Disease Facility Act [210 ILCS 62] shall be considered a licensed individual for the purposes of delegation only under Section 50-75 of the Act.  A person working to acquire the experience necessary to obtain certification under subsection (f)(2) may practice in accordance with this subsection (f) for a period of no more than 18 months so long as his or her practice is in compliance with the experience standards set forth by the entities listed in subsection (f)(2).


2)         Delegation under this subsection (f) shall only be allowed if the individual receiving delegation currently holds, or is in the process of acquiring, the necessary experience to apply for and achieve one of the following certifications:


A)        Certified Clinical Hemodialysis Technician (CCHT) by the Nephrology Nursing Certification Commission (NNCC);


B)        Certified Hemodialysis Technician (CHT) by the Board of Nephrology Examiners Nursing and Technology (BONENT);


C)        Certified in Clinical Nephrology Technology (CCNT) by the National Nephrology Certification Organization (NNCO).


3)         Delegation under this subsection (f) shall not include medication administration except for saline flushes and application of topical anesthetics.  All patient care provided by a certified dialysis technician practicing under this subsection (f) shall be under the direct and immediate on-site supervision of a licensed physician, advanced practice nurse, physician assistant or registered nurse.


4)         Delegation under this subsection (f) shall also comply with any rules adopted under the End Stage Renal Disease Facility Act.


5)         Nothing in this subsection (f) shall be construed to apply to any other facility or practice setting.  This subsection (f) shall not be construed as granting a license under the Act and shall not allow individuals receiving delegation under this subsection (f) to use any title regulated by the Act.


(Source:  Amended at 39 Ill. Reg. 15764, effective November 24, 2015)