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The Difference between a Medical Directive & Delegation

8. The Difference Between a Medical Directive & Delegation

It is important to understand that Medical Directives and Delegation are two completely different processes. Delegation is the transfer of legal authority (from a healthcare professional who has the authority to perform a controlled act to an individual not authorized to perform the controlled act, whereas a Medical Directive is a type of order.

As outlined previously, there are two types of orders:

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1.  A Direct Order (naming an individual patient)

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2.  A Medical Directive (for a broad group/type of patient)

The flowchart below may help you determine whether an order or both an order and delegation is required.

Does the task fall under a controlled act authorized to RTs?

Yes

No

An Order is required

An Order is required

Delegation is also required