Nurse Delegation Program

Vaccination Message: Governor’s Proclamation 21-14

This is to inform you that Proclamation 21-14 mandates certain providers to be fully vaccinated by October 18, 2021.

DSHS has determined that this mandate applies to our nursing contractors and in order to retain your contract with DSHS and continue to provide services for DSHS clients you must be fully vaccinated by the above date.

A link to the full Proclamation is included below. In addition, the DOH FAQs may be able to answer questions you may have and we have included information on how to locate a place to get vaccinated.   

Proclamation 21-14

DOH Vaccination Requirement FAQ'S

Please continue to heed the directions of the nursing commission as it pertains to how this impacts your ability to practice under your nurse license.   

We appreciate your continued services in supporting our vulnerable population in a safe environment and will provide updates as they become available.

Thank you for your patience as we learn and adapt to address the emergency caused by the current pandemic.  

If you have questions, please contact us at

The DSHS Nurse Delegation Program is for Registered Nurses interested in becoming a RND (Registered Nurse Delegator).  This page has resources for current and future RNDs.

How to Become a Registered Nurse Delegator (RND)

Frequently Asked Questions  

What Is Nurse Delegation?

The Nurse Delegation Program, under Washington State law, allows nursing assistants working in certain settings to perform certain tasks--such as administration of prescription medications or blood glucose testing--normally performed only by licensed nurses. A registered nurse must teach and supervise the nursing assistant, as well as provide nursing assessments of the patient's condition.

How Can I Contract With DSHS To Provide Nurse Delegation?

Registered nurses who wish to contract with the state are required to attend a free, all-day training session provided by the state. You must also complete a contract packet which you will receive at the class and provide the necessary documents (such as business license and proof of insurance) prior to being contracted.

What Is Required For A Registered Nurse To Do Nurse Delegation?

Any nurse registered in Washington State may delegate, but s/he may only do so according to the laws (RCW 18.79.260) and regulations (WAC 246-840-910 to 970) written by the Nursing Commission. 

How Do I Find Clients?

DSHS doesn't provide clients; you must market your services yourself. DSHS does distribute the current list of contracted delegating nurses to the case managers who authorize Nurse Delegation services for their Medicaid clients.

How Do I Get Nurse Delegation Forms?

You can download all mandatory forms at the Nurse Delegation Forms page.

When And Where Are The Trainings Held?

See the current training schedule for more information and online registration.

Resources for Current RNDs with DSHS Contracts

Training and Meeting Schedule

2022 Training and Meeting calendars will be posted in January 2022.

Nurse Delegation Program Contacts