Section 54-07-08-01 - Specific delegationA licensed nurse who delegates the delivery of specific medication for a specific client to an unlicensed assistive person shall:
1. Supply organization procedural guidelines for the unlicensed assistive person to follow in the administration of medication by specific delegation. 2. Teach each unlicensed assistive person for each specific client's medication administration which includes verbal and written instruction for the specific client's individual medications: a. The trade name and generic name; b. The purpose of the medication; c. Signs and symptoms of common side effects, warnings, and precautions; d. Route of administration; and e. Instructions under which circumstances to contact the licensed nurse or licensed practitioner. 3. Observe the unlicensed assistive person administering the medication to the specific client until competency is demonstrated. 4. Verify the unlicensed assistive person's competency through a variety of methods, including oral quizzes, written tests, and observation. The nurse verifies that the unlicensed assistive person: a. Knows the six rights for each medication for the specific client: b. Knows the name of the medication and common dosage; c. Knows the signs and symptoms of side effects for each medication; d. Knows when to contact the licensed nurse; e. Can administer the medication properly to the client; and f. Documents medication administration according to organization policy. 5. Document the training of the unlicensed assistive person related to the specific delegation of medication administration for each client. 6. Evaluate the client when medication orders change and determine if further instruction for each unlicensed assistive person is necessary to implement the change. N.D. Admin Code 54-07-08-01
Effective May 1, 1999; amended effective April 1, 2004.General Authority: NDCC 43-12.1-08
Law Implemented: NDCC 43-12.1-08(1)