N.J. Admin. Code § 13:37-6.4

Current through Register Vol. 56, No. 12, June 17, 2024

Section 13:37-6.4 - Registered nurse obligations relating to delegations to a licensed practical nurse, CHHA, or assistive person

(a) (Reserved)

(b) (Reserved)

(c) When delegating the administration of a specific medication to a licensed practical nurse, a CHHA, or an assistive person, the registered professional nurse shall ensure that the facility patient record or record maintained by the registered professional nurse includes:

1. The specific medication whose administration has been delegated;

2. Any specific instructions the registered nurse provided as part of that delegation;

3. The duration of the delegation;

4. A timeframe for the professional registered nurse to reevaluate the patient;

5. The dosage of the medication, route of administration for the medication, and frequency of the medication;

6. Any side effects that the licensed practical nurse, the CHHA, or the assistive person should watch for;

7. Any contraindications to administering the medication;

8. Any conditions that would require the licensed practical nurse, CHHA, or assistive person to contact the registered professional nurse;

9. Any instructions on positioning of the patient prior to and after the administration of the medication; and

10. The instructions for proper preparation and maintenance of the medication.

(d) When delegating the administration of medication to a licensed practical nurse, a CHHA, or an assistive person, the registered professional nurse shall advise the person whom the task is delegated to:

1. Document every time that the medication is administered; and

2. Report immediately to the delegating registered professional nurse, if:

i. The medication was administered at the wrong time;

ii. The wrong dose of medication was administered;

iii. The wrong medication was administered;

iv. The medication was administered through the wrong route;

v. The medication was not administered;

vi. The patient refused to take the medication; or

vii. The patient evidences any adverse reaction or side-effects to the medication.

N.J. Admin. Code § 13:37-6.4

Adopted by 48 N.J.R. 423(a), effective 3/7/2016