Most students take these as a "bundle," but they are separate certifications:

• Core Basic (9 hours): Covers the legal requirements, the delegation process, and general tasks like medication administration, dressing changes, and ostomy care.

• Diabetes Focus (3 hours): An additional module specifically for those who need to administer insulin injections and monitor blood glucose. You must complete the Core course before taking this one.

How the Process Works

• Training: You complete a state-approved self-study or classroom-based course.

• Testing: You must pass a written exam to receive your DSHS certificate.

• The "Delegator": Once certified, you aren't authorized to do these tasks for everyone. A Registered Nurse Delegator (RND) must specifically delegate a task to you for a specific patient.They will teach you the task, supervise your technique, and perform regular assessments.

Eligibility & Settings

• Who: You must have an active license (CNA, NAR, or HCA).

• Where: Delegation is allowed in specific community settings, including Adult Family Homes, Assisted Living Facilities, and through in-home care for DSHS clients. It is generally not allowed in hospitals or skilled nursing facilities.

What CANNOT be Delegated

Even with this certification, certain tasks are strictly prohibited:

• Injections (other than insulin).

• Sterile procedures (like complex wound care).

• Central line maintenance.

• Any task requiring "nursing judgment" or clinical assessment.