Nursing delegation and medication administration in assisted living.

Ethel Mitty, Barbara Resnick, Josh Allen, Debra Bakerjian, Judith Hertz, Wendi Gardner, Mary Pat Rapp, Susan Reinhard, Heather M Young, Mathy Mezey

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Assisted living (AL) residences are residential long-term care settings that provide housing, 24-hour oversight, personal care services, health-related services, or a combination of these on an as-needed basis. Most residents require some assistance with activities of daily living and instrumental activities of daily living, such as medication management. A resident plan of care (ie, service agreement) is developed to address the health and psychosocial needs of the resident. The amount and type of care provided, and the individual who provides that care, vary on the basis of state regulations and what services are provided within the facility. Some states require that an RN hold a leadership position to oversee medication management and other aspects of care within the facility. A licensed practical nurse/licensed vocational nurse can supervise the day-to-day direct care within the facility. The majority of direct care in AL settings is provided by direct care workers (DCWs), including certified nursing assistants or unlicensed providers. The scope of practice of a DCW varies by state and the legal structure within that state. In some states, the DCW is exempt from the nurse practice act, and in some states, the DCW may practice within a specific scope such as being a medication aide. In most states, however, the DCW scope of practice is conscribed, in part, by the delegation of responsibilities (such as medication administration) by a supervising RN. The issue of RN delegation has become the subject of ongoing discussion for AL residents, facilities, and regulators and for the nursing profession. The purpose of this article is to review delegation in AL and to provide recommendations for future practice and research in this area.

Original languageEnglish (US)
Pages (from-to)162-171
Number of pages10
JournalNursing Administration Quarterly
Volume34
Issue number2
StatePublished - Apr 2010

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Activities of Daily Living
Nursing
Assisted Living Facilities
Long-Term Care
Health Services
Nurses
Health
Research
Licensed Practical Nurses

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Mitty, E., Resnick, B., Allen, J., Bakerjian, D., Hertz, J., Gardner, W., ... Mezey, M. (2010). Nursing delegation and medication administration in assisted living. Nursing Administration Quarterly, 34(2), 162-171.

Nursing delegation and medication administration in assisted living. / Mitty, Ethel; Resnick, Barbara; Allen, Josh; Bakerjian, Debra; Hertz, Judith; Gardner, Wendi; Rapp, Mary Pat; Reinhard, Susan; Young, Heather M; Mezey, Mathy.

In: Nursing Administration Quarterly, Vol. 34, No. 2, 04.2010, p. 162-171.

Research output: Contribution to journalArticle

Mitty, E, Resnick, B, Allen, J, Bakerjian, D, Hertz, J, Gardner, W, Rapp, MP, Reinhard, S, Young, HM & Mezey, M 2010, 'Nursing delegation and medication administration in assisted living.', Nursing Administration Quarterly, vol. 34, no. 2, pp. 162-171.
Mitty E, Resnick B, Allen J, Bakerjian D, Hertz J, Gardner W et al. Nursing delegation and medication administration in assisted living. Nursing Administration Quarterly. 2010 Apr;34(2):162-171.
Mitty, Ethel ; Resnick, Barbara ; Allen, Josh ; Bakerjian, Debra ; Hertz, Judith ; Gardner, Wendi ; Rapp, Mary Pat ; Reinhard, Susan ; Young, Heather M ; Mezey, Mathy. / Nursing delegation and medication administration in assisted living. In: Nursing Administration Quarterly. 2010 ; Vol. 34, No. 2. pp. 162-171.
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