Find a nurse delegator in any Washington county
Nurse delegation lets trained caregivers give medications, check blood sugar and handle other nursing tasks under a registered nurse's license. It is how many people keep living at home or in an adult family home.
- Pick a countyThe map zooms in and lists every DSHS-contracted delegator who serves it.
- Call or email a nurseLocal nurses are listed first. Statewide agencies follow.
- Or send one requestTell us the setting and tasks, and we pass it to delegators in that county.
Counts and names come from the DSHS list of contracted nurse delegators, checked October 19, 2026. "Local only" leaves out the statewide and regional agencies.
How nurse delegation works
A registered nurse teaches a caregiver one task for one client, checks that they can do it safely, and stays responsible for the result. The caregiver works under that nurse's license, so delegation does not transfer to another client or another nurse.
What a caregiver can be taught
- Oral, topical, eye, ear and nasal medications
- Insulin and other diabetes injections
- Blood sugar checks
- Medications and feedings through a G-tube
- Clean, simple dressing changes and ostomy wafer changes
- In-and-out urinary catheters and clean suctioning
Who qualifies
The client needs a nursing task done and either cannot do it physically, or cannot understand when or why it is needed.
Delegation happens where people live:
- Their own home, with an individual or agency caregiver
- Adult family homes (2 to 8 residents)
- Assisted living facilities
- DDA supported living, group homes and companion homes
Who pays
DSHS Medicaid pays contracted delegators for clients at home, in adult family homes and in DDA residential programs. Assisted living facilities pay their own delegators.
Medicare and most health insurance plans do not cover nurse delegation. Private pay is arranged directly with the nurse.
What the caregiver needs
An active nursing assistant or home care aide credential, the Nurse Delegation Core training, and the Special Focus on Diabetes training before giving insulin. The nurse checks in at least every 90 days.
Start where you are
Families, case managers, home operators and nurses all use this site for different things. Pick yours.
Families and case managers
Tell us the county, the setting and the tasks. Your request goes to the delegators who cover that area. No client names or health details needed.
Adult family homes and agencies
Find delegators for your residents, and train your caregivers with the same handouts and task instructions delegating nurses use.
Nurse delegators
Confirm your listing so families can reach you, trade cases with nurses nearby, and get help with billing and WAC questions.
Free training library
364 handouts, task instructions, teaching packets and drug sheets. Search reads all 3,726 pages, including scanned ones.
Start with the Basic Training Packet
Every caregiver learns this before any task is delegated: the five rights of medication administration, what caregivers can and cannot do, MAR charting, side effects, dementia care and warning signs.
Open the packetThe five rights of delegation
The American Nurses Association and the National Council of State Boards of Nursing use these five checks to decide whether a task can be handed to a caregiver safely.
- Right taskThe law allows it to be delegated, and it does not call for a nurse's judgment.
- Right circumstanceThe client is stable and the setting supports doing the task safely.
- Right personThe caregiver holds the required credential and training, and has shown the nurse they can do it.
- Right direction and communicationClear written instructions for this client, explained and repeated back.
- Right supervisionThe nurse follows up, re-checks the client and caregiver, and steps in when things change.
Responsibility. The nurse's duty, under Washington's Nurse Practice Act, to deliver care dependably.
Authority. What the caregiver is allowed to do, set by law, the employer and the delegation itself.
Accountability. The nurse hands over the task, never the accountability. The outcome stays on the nurse's license.
For RNDs, interpreting the WACs and navigating the scope of delegation is a perpetual challenge
No one understands your delegation business better than an RND. SourcebankANDmore handles the processes, forms, tools and ProviderOne billing so you can spend your time with clients.
ProviderOne billing
We prepare and track your RND billing through ProviderOne.
WAC compliance
Answers to delegation and practice questions, grounded in Department of Health guidance.
Charting, time-keeping and billing tools
A web portal you can use from your computer or phone.
Business organization
Choosing a structure that fits your practice, such as sole proprietor or LLC.
Client acquisition
Letting case managers know you are taking clients, tightening your service area for less driving, and trading cases with nearby RNDs.
AFH compliance consulting
Compliance consulting for adult family homes.
Official sources
The rules behind delegation, straight from the state.
- DSHS Nurse Delegation ProgramProgram rules, contracting and contacts
- DSHS list of contracted nurse delegatorsEvery RN and agency with a DSHS delegation contract
- DSHS nurse delegation formsConsent, task instructions and referral forms
- WAC 246-840-910 to 970Nurse delegation rules, including the decision tree
- RCW 18.79.260What a registered nurse may delegate
- Washington Board of Nursing practice guidanceAdvisory opinions and FAQs for nurses