What is a Waiver Nursing Delegation?
Waiver Nursing Delegation (WND) is a process where a licensed nurse delegates certain nursing tasks to non-nursing staff members in the home care setting. It is part of Medicaid’s Home and Community-Based Services (HCBS) Waiver program, which aims to provide long-term care services in a person’s home or community rather than in institutional settings like hospitals or nursing homes.
According to the National Nursing Centers Consortium (NNCC), the ability to delegate nursing tasks to home care staff improves care efficiency and access, ensuring that clients receive the care they need while reducing hospital visits.
Key Points of Waiver Nursing Delegation
Delegation of Nursing Tasks
Supervision and Training
Supports Home and Community Living
Cost-Effective
Waiver Nursing Delegation (WND) provides skilled nursing services delegated to trained non-nursing staff, allowing families to receive professional care without the need for a nurse to be present at all times. Nurses assess the individual’s health needs, develop care plans, and train caregivers to carry out tasks like medication management, catheter care, and wound care under their supervision.
This service is part of the HCBS Waiver Program, which helps individuals with chronic conditions or disabilities access necessary care while remaining in the community.
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