Why Work With Me
One nurse, start to finish. You work with me directly, not a rotating team.
Delegation at the first visit. No waiting weeks to get your caregivers started.
On-time supervision. Visits at 60, 90, and 120 days, then every 180 days, with your paperwork kept current.
A teacher at heart. A nurse since 2011 and an AHA instructor, I train caregivers hands-on until they feel confident.
What Is Nurse Delegation?
In Oregon, nurse delegation is how a registered nurse formally authorizes a trained caregiver to perform specific nursing tasks for a specific client. It's done in writing, and only after the nurse has assessed the client, taught the caregiver hands-on, verified they can do the task safely, and set up a plan for ongoing supervision.
Delegation goes to unlicensed caregivers, the people already caring for the client day to day, such as adult family home caregivers and in-home care providers. A delegated task is authorized for one specific client only. It never transfers to other clients or other caregivers.
Whenever a client in a home or community setting needs nursing tasks, such as taking prescribed medications, and no nurse is regularly on site, those tasks may only be performed by a caregiver under a registered nurse's delegation.
What Can and Cannot Be Delegated
There is no fixed list of tasks. Under Oregon's rules, the registered nurse uses professional judgment to decide what can be safely delegated, based on the client's condition, the complexity and risks of the task, and the caregiver's demonstrated skill.
Commonly delegated: medication administration (including subcutaneous injections), blood sugar monitoring, and routine treatments.
Always stays with the nurse: the nursing process itself, including assessment, care planning, evaluation, and nursing judgment.
Not delegated: tasks that require nursing judgment during the procedure, IV medications (outside very limited home-health and hospice situations), starting or stopping IV lines, and drawing blood. Emergency medications such as epinephrine auto-injectors and glucagon cannot be delegated, but the nurse can teach caregivers how to use them.
A nurse always has the right to refuse to delegate anything she believes would be unsafe.
Who I serve: adult family homes, in-home clients and their families, and case managers. Referrals are always welcome!
How It Works
What Happens When You Choose Me as Your Nurse Delegator
1. You reach out.
Call, email, or send an inquiry through the form below. We'll talk about your home, your residents, and what you need. For private-pay homes, I share my pricing up front so we both know it's a good fit before we go any further.
2. We schedule the initial visit.
I come to your home and complete a nursing assessment of each resident who needs delegation. I also get to know your caregivers: their experience, their skills, and how your home runs day to day.
3. Delegation and training happen at that first visit.
If delegation is appropriate, I don't make you wait weeks. I provide the initial delegation right then. I teach each caregiver hands-on, verify they can perform each task safely, and leave clear written instructions for them to follow, including what to watch for and what to do if something changes.
4. Ongoing supervision you can count on.
I come back to reassess your residents and observe your caregivers at 60, 90, and 120 days, then every 180 days after that. That schedule keeps your home well within Oregon's rules. If a resident's condition changes or there are new orders, I come sooner. Your documentation stays current, your caregivers stay confident, and your home stays in compliance.
The goal is simple: you should never have to chase your nurse delegator. Visits on time, paperwork current, caregivers trained. That's the partnership.
Nurse Delegation FAQ
How soon can you do the first visit?
When I have an opening, I can usually get you on my schedule within 2 weeks of you reaching out.
What should I have ready for the first visit?
Physician orders, the current MAR (medication administration record), and the first and last names of the caregivers who need to be delegated. If you can, email these to me before the visit at contact@pnwnursedelegation.com. If not, it's fine to have them ready on the day I come.
Nurse Delegation Inquiry
I share my private-pay pricing up front when we talk, so you'll know exactly what to expect.