12 Alaska Admin. Code § 44.945

Current through May 31, 2024
Section 12 AAC 44.945 - Administration of herbal or non-herbal nutritional supplement
(a) A nurse licensed under AS 08.68 may administer an herbal or non-herbal nutritional supplement to a patient if
(1) the patient's health care provider has ordered that an herbal or non-herbal nutritional supplement be administered to the patient;
(2) the patient or the patient's representative has requested that the nurse administer an herbal or non-herbal nutritional supplement to the patient;
(3) the nurse administering the herbal or non-herbal nutritional supplement knows the actions, possible side effects, and possible interactions of the supplement with food, medications, or other substances;
(4) the use of the herbal or non-herbal nutritional supplement and indications are included as part of the nursing care plan for the patient;
(5) the herbal or non-herbal nutritional supplement was commercially manufactured and the container of the nutritional supplement provided for administration to the patient was provided unopened with the manufacturer's seal intact and administered before the expiration date; and
(6) a pharmacist has reviewed all medications taken by the patient including any herbal or non-herbal nutritional supplements ordered by the patient's health care provider or requested by the patient or patient's representative for possible adverse effects or interactions with food, medications, or other substances.
(b) Repealed 8/10/2016.
(c) A nurse licensed under AS 08.68 may not administer to a patient an herbal or non-herbal nutritional supplement that
(1) was compounded for the patient rather than commercially manufactured; or
(2) is a controlled substance under state or federal law.
(d) This section does not apply to United States Food and Drug Administration (FDA) regulated vitamins and minerals. A nurse licensed under AS 08.68 may administer FDA-regulated vitamins and minerals to a patient in the manufacturer's recommended dosage or as ordered by the patient's health care provider.
(e) As used in this section,
(1) "administer" means to provide a nutritional supplement to a patient for ingestion by the patient;
(2) "compounded" means the preparation, mixing, assembling, packaging, or labeling of a nutritional supplement;
(3) "health care provider" includes a licensed
(A) advanced practice registered nurse;
(B) doctor of medicine;
(C) doctor of osteopathy;
(D) physician assistant; and
(E) dentist;
(4) "herb" means a plant grown for its health or medicinal properties; "herb" includes plant parts and extracts;
(5) "non-herbal nutritional supplement" has the meaning given for a "dietary supplement" in 21 U.S.C. 321(ff) (sec. 3(a) of the Dietary Supplement Health and Education Act of 1994), revised as of March 1, 2007, adopted by reference, except that it does not include a dietary supplement that contains one or more herbs;
(6) "nutritional supplement" has the meaning given for a "dietary supplement" in 21 U.S.C. 321(ff), (sec. 3(a) of the Dietary Supplement Health and Education Act of 1994), revised as of March 1, 2007, adopted by reference.

12 AAC 44.945

Eff. 8/30/2007, Register 183; am 11/19/2008, Register 188; am 5/7/2010, Register 194; am 8/10/2016, Register 219, October 2016; am 5/16/2018, Register 226, July 2018; am 3/5/2020, Register 233, April 2020

Authority:AS 08.68.100