NDAC 54-07-08-01
Specific delegation
Cite as N.D. Admin. Code § 54-07-08-01
A 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:
(1)
Right client;
(2)
Right medication;
(3)
Right dosage;
(4)
Right route;
(5)
Right time; and
(6)
Right documentation.
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.