What is required for an ethically sound delegation of tasks to a PA?

• A. Tasks can be delegated regardless of competence as long as physician orders.
• B. Delegation should avoid informing patient about tasks.
• C. Delegation requires no supervision if within protocol.
• D. Tasks must be within the PA's scope and competence, with proper supervision, protocols, and patient safety considerations.

Answer: (D)

Delegation must align with what the PA is trained and authorized to do, and it should be overseen to protect patient safety. An ethically solid delegation happens only when tasks are within the PA’s actual scope and competence, with appropriate supervision and clear protocols or standing orders guiding how those tasks are carried out. This ensures the PA is capable of performing the tasks safely and effectively, and that there is accountability for the care provided.

Even with physician orders, assigning tasks beyond the PA’s training or scope risks patient harm and ethical issues. Informing the patient about who is performing what tasks is essential for transparency and consent, supporting trust in care. Relying solely on protocols without ongoing supervision is not sufficient—the supervising physician must ensure supervision is appropriate and that the care remains safe and accountable.