S.D. Admin. R. 20:48:04.01:16

Current through Register Vol. 50, page 159, June 17, 2024

Section 20:48:04.01:16 - Written protocol required for the delegation of insulin administration by the subcutaneous route to nursing assistive personnel

A written protocol for the delegation of insulin administration by the subcutaneous route to nursing assistive personnel is required prior to delegation by the registered nurse. The registered nurse must ensure that the following requirements are included in the protocol:

(1) The nursing assistant completes a five hour board-approved training in the following areas:

(a) Diabetes basics;

(b) Hypoglycemia;

(c) Hyperglycemia;

(d) Blood glucose monitoring;

(e) Glucagon administration;

(f) Insulin types and methods of administration;

(g) Nutrition and physical activity;

(h) Documentation; and

(i) Standard precautions;

(2) The nursing assistant completes a written examination. A passing score of 85 percent is required on the test with an opportunity to retake the test one time. If a student fails on retake, additional instruction is required before further testing is allowed;

(3) The nursing assistant completes a minimum of five hours of clinical or laboratory instruction including the demonstration of individual competence utilizing a board-approved competency checklist in the following areas:

(a) Blood glucose monitoring;

(b) Insulin administration;

(c) Glucagon administration;

(d) Carbohydrate counting/diet management; and

(e) Standard precautions;

(4) The registered nurse meets in-person with the nursing assistant, after completion of the requirements in subdivision 20:48:04.01:16(1), (2), and (3), during a client's mealtime at least two times per week in the first four weeks to consult with the nursing assistant and to evaluate competence;

(5) The registered nurse is available by electronic communication at all mealtimes; and

(6) The registered nurse completes an annual review of nursing assistive personnel competence as identified in subdivision 20:48:04.01:16(3).

S.D. Admin. R. 20:48:04.01:16

41 SDR 12, effective 7/31/2014; 49 SDR 051, effective 11/27/2022

General Authority: SDCL 13-33A-2, 36-9-21.

Law Implemented: SDCL 13-33A-1, 36-9-3, 36-9-21.