Who can amend the delegation agreement if client conditions change?

The correct answer is that the registered nurse in consultation with the client and caregiver can amend the delegation agreement if client conditions change. This is because the delegation agreement is a dynamic document that must reflect the current needs and conditions of the client.

When a client's health condition or needs evolve, it is vital to ensure that the care provided remains appropriate and safe. The registered nurse has the expertise and authority to assess the situation, identify necessary adjustments to care, and update the delegation agreement accordingly. This process involves a collaborative approach where the nurse consults both the client and the caregiver, ensuring that all parties understand the changes and agree on the new plan.

The other options aren't capable of making these amendments on their own due to the complexity and importance of the nursing assessment involved. The caregiver, while integral to the care process, lacks the clinical authority to modify the delegation agreement independently. Similarly, the healthcare facility administrator may hold key administrative responsibilities but does not typically possess the clinical insight needed to amend nursing care plans. This reinforces the role of the registered nurse in maintaining safe and effective care aligned with the client's evolving needs.