The College of Optometrists

Delegation

C206
Delegation is different from referral. See section on Working with colleagues. Referral is when you arrange for another practitioner to provide a service that falls outside your scope of practice, contract or professional competence, such as referring a patient to a contact lens optician for contact lens care. Delegation is when you ask a colleague to provide care or undertake a procedure on your behalf.
C207
When you delegate care, you are still responsible for: 
  1. the overall management of the patient, and must ensure that your patient receives the same standard of care that you would provide, and
  2. the work of the person to whom you have delegated the procedure and any clinical findings.248
C208
When you delegate, you should be satisfied that the person to whom you delegate has the skills and experience to provide the relevant care or undertake the procedure. If harm can result from the procedure, such as instilling eye drops or insertion and removal of a contact lens, you must remain on the premises so you can intervene if necessary.249 
C209
You should not ask someone who is not suitably qualified to interpret any clinical findings.
C210
You should explain to the patient that you are delegating a particular part of their care to your colleague and that you will discuss any clinical findings with the patient.
C211
You must not delegate any part of the protected functions of sight testing or contact lens fitting, including any part that would be regarded as assessing the patient or exercising professional judgement, other than to someone who is registered to perform the protected functions. 

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