Form 8007 August 2012 Texas Department of Aging and Disability Services ICF/IID RN Delegation Worksheet for 22 TAC Section 225 To be completed by registered nurse and attached to comprehensive assessment - dads state tx-2026

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Form 8007 August 2012 Texas Department of Aging and Disability Services ICF/IID RN Delegation Worksheet for 22 TAC Section 225 To be completed by registered nurse and attached to comprehensive assessment - dads state tx Preview on Page 1

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How to use or fill out Form 8007 August 2012 Texas Department of Aging and Disability Services ICF/IID RN Delegation Worksheet for 22 TAC Section 225

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the individual's name and date at the top of the form. This information is essential for proper identification.
  3. Review the black box section regarding delegation eligibility under §225. Ensure you understand which tasks require professional judgment and which can be delegated.
  4. In the Nursing Tasks section, assess each task listed. Mark whether it falls under ADL, HMA, Delegated Task, or Nursing Only based on your evaluation.
  5. For medication administration, indicate if the individual can self-administer medications. Use checkboxes to specify methods such as orally or via gastrostomy tubes.
  6. Complete additional health-related tasks by marking appropriate boxes based on your assessment of what can be delegated or requires nursing intervention.
  7. Finally, ensure that both you and another registered nurse sign and date the form at the bottom before attaching it to the comprehensive assessment.

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