Every Life Matters
The client is a person with a history, not a set of delegated tasks.
Founded by
Markus Mastrud, RN, BSN
Veteran · Registered Nurse
About North Star · Oregon RN delegation · community nursing · Medicaid & private pay
Patient-centered care is our mission.
Nursing excellence is our standard.
Trust is something we earn every day.
North Star provides registered-nurse delegation and community nursing support for care teams across the Portland metropolitan area. We serve clients with Medicaid and private-pay arrangements.
Excellence Earns Trust.
Veteran-owned
RN-owned
Medicaid & private pay
Portland metro, Oregon
Accepting New Clients
North Star Nurse Delegation begins accepting new clients and community partners on Saturday, September 26, 2026.
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Saturday, 26 September 2026 · Portland Metro, Oregon
Now Accepting New Clients
North Star Nurse Delegation is officially open for service across the Portland metro.
Where we work
The Portland metropolitan area
Multnomah
County, OR
Portland and east county
Washington
County, OR
Beaverton, Hillsboro, Tigard
Clackamas
County, OR
Oregon City, Milwaukie, Lake Oswego
Portland
Gresham
Beaverton
Hillsboro
Tigard
Tualatin
Oregon City
Lake Oswego
West Linn
Milwaukie
Veteran-owned leadership
Veteran-owned. Nurse-led. Accountable by design.
Founded by Markus Mastrud, RN, BSN, North Star is a veteran-owned, RN-led Oregon practice. Veteran ownership informs how we show up: prepared, accountable, calm and respectful of every person who trusts us with care.
“After a career in military service and private security, I became a nurse to continue serving others in a different way. North Star Nurse Delegation was built on that same commitment—lead with integrity, teach with purpose, put safety first, and make every client feel like they are our only client.” — Markus Mastrud, RN, BSN, Founder & CEO
Every Relationship Counts
Caregivers, families and case managers are colleagues in the same care.
Every Day, We Earn Trust
Trust is the outcome of the work, and it is re-earned on every visit.
Care Provided
Nurse-led delegation and community nursing
Care may begin with an assessment and medication review, then continue with teaching, delegation, monitoring and follow-through tailored to the client and care team.
Referral intake and triage
We begin by understanding the client, their care team and the support that may be needed.
Nursing assessment
A registered nurse assesses the client and care plan before deciding whether delegation is appropriate.
Medication review
The nurse reviews what is prescribed, what is actually taken and what a caregiver is being asked to give.
Caregiver delegation decisions
The nurse decides what may be delegated, to whom and under what circumstances.
Caregiver teaching and competency validation
Teaching is client-specific, and competence is observed rather than assumed.
Ongoing clinical monitoring
Delegation is a continuing nursing relationship with follow-through as the client's needs change.
Reassessment and renewal
Care changes, so nursing direction and delegated tasks are reviewed to keep the plan current.
Client-specific procedural guidance
Guidance is built around the client, procedure and caregiver rather than a generic task list.
Change-in-condition response
When needs change, the nurse reassesses, communicates next steps and updates the care plan as appropriate.
OSBN Division 47 Compliance
Delegable Clinical Nursing Tasks & Procedures
Under Oregon Administrative Rules (OAR 851-047), our Registered Nurses evaluate, train, and delegate routine health maintenance tasks to qualified caregivers.
Insulin & Diabetes Delegation
Subcutaneous insulin administration, continuous glucose monitors (CGM), capillary blood glucose testing, sliding-scale protocols, and hypoglycemia recognition.
MAR Oversight & PRN Protocols
Oral, topical, ophthalmic, otic, and inhaled medications. Rigorous MAR reconciliation, blister-pack oversight, and individualized PRN psychotropic protocols.
G-Tube & J-Tube Feedings
Gastrostomy and jejunostomy tube feeding delegation, routine water flush schedules, enteral medication delivery, and stoma site health monitoring.
Wound Care & Dressing Changes
Non-sterile wound dressing management, pressure injury staging, barrier cream regimens, surgical site monitoring, and skin tear protocols.
Inhalation & Oxygen Therapy
Oxygen concentrator and tank management, CPAP/BiPAP adherence checks, nebulizer treatments, pulse oximetry, and stable tracheostomy care.
Catheter & Ostomy Management
Foley and supra-pubic catheter care, drainage bag hygiene, colostomy/ileostomy appliance changes, and delegated bowel management programs.
Care and Access
Support that begins with the whole care team
Dependable nursing oversight tailored to the unique regulatory environments of Oregon community residential providers.
Care Setting
Care teams close to home
We support clients, caregivers, families, case managers and community partners in homes and eligible community-based settings, including Adult Foster Homes (AFH) and Assisted Living Communities (ALF/RCF).
Medicaid & Private Pay
Clear expectations before care begins
We serve clients with Medicaid and private-pay arrangements. Every referral is reviewed for clinical fit, authorization and payer requirements.
Our Clinical Process
The North Star 4-Step Delegation Framework
A structured, predictable process engineered to keep your home compliant and your residents thriving.
Intake & Clinical Triage
Rapid review of physician orders, medical histories, and resident stability within 24 to 48 hours to confirm delegability.
On-Site Assessment
Comprehensive in-person RN clinical assessment evaluating patient baseline, acuity, and specific care setting suitability.
Caregiver Teaching & Validation
Direct hands-on skills instruction, return demonstration, and signed caregiver competency validation under OSBN Division 47.
Protocols & Reassessment
Delivery of customized written task protocols, survey-ready charts, scheduled supervisory visits, and change-in-condition response.
Referral Questions
Before you call
Care starts with a clear conversation. Talk with our team about the nursing support your setting needs and the referral or payment path for the client.
What is nurse delegation?
A registered nurse assesses the client, decides which nursing tasks may be safely delegated, teaches the client's caregivers to perform them, validates that competence in person and keeps monitoring as needs change. It is a continuing nursing relationship, not a one-time sign-off.
Do you replace the caregivers we already have?
No. Delegation works through the caregivers already in place — the nurse teaches, validates and oversees them for the client's specific tasks. Caregivers, families and case managers are colleagues in the same care.
Where does the care happen?
In homes and eligible community-based settings across Multnomah, Washington, and Clackamas counties in the Portland metropolitan area.
Who can contact North Star?
Clients, families, caregivers, case managers, agencies and clinicians can call the referral line to discuss whether the requested nursing support is a fit.
What happens when I call?
We will talk through the requested nursing support, setting, care team and next appropriate step. Every referral is reviewed for clinical fit, authorization and payer requirements.
What helps to have ready when you call?
It helps to know the client's care setting, who provides their care today and whether the client has Medicaid or a private-pay arrangement — but you do not need everything answered to start the conversation.
Do you work with Medicaid and private pay?
Yes. We serve clients with Medicaid and private-pay arrangements. The referral team can talk through the pathway for your setting and the client's needs.
When can services begin?
North Star opens for referrals on Saturday 26 September 2026. Every referral is then reviewed for clinical fit, authorization and payer requirements before care begins.
Every Life Matters. Every Relationship Counts.
Every Day, We Earn Trust.
Opening for referrals Saturday 26 September 2026.