IL SB0309

Registered professional nurses may delegate nursing interventions to licensed nurses, licensed practical nurses, and unlicensed personnel based on comprehensive assessment of patient stability, potential harm, intervention complexity, outcome predictability, and individual competency.

Registered professional nurses may delegate medication administration to licensed nurses, and in community-based or in-home settings may delegate oral, subcutaneous, topical, or transdermal medications to unlicensed personnel under specified conditions.

Registered professional nurses cannot be mandated to delegate nursing interventions and cannot face disciplinary action for refusing delegation based on patient safety concerns.

Medication administration cannot be delegated to unlicensed personnel in institutional or long-term care facilities, including hospitals and state-operated mental health facilities, except as authorized by Article 80 or other specific law.

Registered professional nurses cannot delegate nursing judgment, comprehensive patient assessment, care plan development, or care evaluation; licensed practical nurses and unlicensed personnel cannot re-delegate assigned nursing interventions.