N.H. Admin. Code § Nur 404.07

Current through Register No. 45, November 7, 2024

Section Nur 404.07 - Delegation of Medication Administration

(a) In addition to the requirements of Nur 404.05, when delegating medication administration, the delegating nurse shall specify:

(1) The medication to be administered;

(2) The dosage, route and time of the medication to be administered;

(3) The proper method for administration;

(4) Required documentation; and

(5) The duty to report immediately to the delegating nurse any error in the administration.

(b) In addition to the requirements in paragraph (a), and when relevant to the care of the client by the delegate, the delegating nurse shall instruct the delegate on:

(1) The reasons for the medication;

(2) The potential side effects of the medication;

(3) Observation of the client's response; and

(4) Expected actions if side effects are observed.

(c) A nurse may delegate medication administration when medication is administered via the following routes:

(1) Topical;

(2) Oral;

(3) Nasal;

(4) Ocular;

(5) Auricular;

(6) Vaginal;

(7) Rectal;

(8) Enteral tube; and

(9) Injection of insulin or epinephrine in accordance with paragraph (f) and (g).

(d) A nurse shall not delegate the following:

(1) Medication administered via a parenteral route, if not listed in paragraph (c);

(2) Medication administered via a nasogastric tube;

(3) The initial dose of a new medication or a previously prescribed medication with a dosage change; or

(4) Medication administration requiring a dosage calculation by the LNA.

(e) A nurse may delegate PRN medications subject to the following:

(1) The delegating nurse provides written instructions; and

(2) The administration is authorized by the supervising nurse on duty or on call.

(f) A nurse may delegate the administration of insulin from a labeled and pre-set or pre-drawn Insulin delivery device.

(g) A nurse may delegate the administration of epinephrine from a labeled and pre-set or pre-drawn delivery device.

N.H. Admin. Code § Nur 404.07

#7741, eff 8-13-02; ss by #8873, eff 4-24-07; ss by #10299, eff 3-22-13; ss by #10571, eff 4-17-14

Renumbered by Nur 404.06 Volume XXXV Number 45, Filed November 12, 2015, Proposed by #10953, Effective 10/22/2015, Expires 10/22/2025.

Amended by Volume XXXVI Number 19, Filed May 12, 2016, Proposed by #11082, Effective 4/26/2016, Expires 4/26/2026.