Evidence-Based Framework: NCSBN & ANA Joint Statement on Nursing Delegation (2019).
All delegation decisions must pass through the Five Rights of Delegation — Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision — before execution.
Always verify against your state's Nurse Practice Act and facility policies.
Step 1 — Patient Condition
Step 2 — Select Task to Delegate
Step 3 — Target Personnel
🩺
Registered Nurse (RN)
Full scope — assessment, planning, evaluation
✓
💊
LPN / LVN
Focused scope — medications, procedures, data collection
✓
🤝
UAP / CNA / Tech
Assistive scope — ADLs, vitals, transport
✓
Five Rights Evaluation — NCSBN
1
Right Task
Is this task appropriate for delegation? Can it be performed without direct RN clinical judgment?
2
Right Circumstance
Is the patient stable enough? Are adequate resources available for this delegation?
3
Right Person
Is the delegatee qualified, trained, and legally scoped to perform this task?
4
Right Direction / Communication
Clear instructions provided? Parameters for reporting back defined?
5
Right Supervision
Monitoring plan in place? Can you intervene promptly if condition changes?
🧩
Select a Scenario to Evaluate
Choose a patient condition, task, and staff member on the left, then click "Analyze" to validate against the Five Rights.