DelegatingRN

Maybe this will help Delegating nurse- The registered nurse who serves as the case manager/ delegating nurse (RN, CM/DN) must complete the Maryland Board of Nursing and OHCQ approved case manager/delegating nurse curriculum offered by a community college and other approved educational sites prior to serving as a delegating nurse. The RN, CM/DN may: 1. Teach the medication administration training program; 2. Serve as the case manager/delegating nurse in Assisted Living This responsibility includes: a. perform an initial and 45 day assessment during the site visit to the home. The follow-up site visit must occur at a minimum of every forty-five (45) days b. assessing the clinical status of the client every 45 days. c. assessing the competency of the medication assistant administering medication at the same time as the 45 day site visit. d. assessing the task to be delegated included complexity. e. assessing the environment in which the task is to be performed. f. determining the instruction and frequency of supervision required to monitor the caregiver.

Hi everyone. Lets start by saying thank you in advance for your positive comments! Currently I am a RN that is looking to start working as a delegating nurse in the state of Maryland. I have fulfilled the requirements of the state to do so. But of course I have a problem. I am seeking four clients for my first job assignment. The assisted living manager that I am working with does not have any healthcare/nursing experience. On the other hand he has fulfilled all requirements of the state as well. He gets calls everyday from clients seeking placement. The problem is that many of these people have mental illnesses. Am I wrong for not wanting to place them due to the ALM lack of experience? Also the ALM does not understand the selecting client process which I have explained multiple clients. For example, he called me saying that a 37 y/o male with Bipolar and a 87 y/o male with severe dementia is looking for placement. Both require care but need to be cared for differently. Any suggestions? This is my first time doing delegating nurse position and his first time starting assisted living. Am I making this complicated? Helpppppp