R156-31b-701a. Delegation of Tasks in a School Setting

  In addition to the delegation rule found in Section R156-31b-701, the delegation of tasks in a school setting is further defined, clarified, or established as follows:

  (1) Before a registered nurse may delegate a task that is required to be performed within a school setting, the registered nurse shall:

  (a) develop, in conjunction with the applicable student, parent(s) or parent surrogate(s), educator(s), and healthcare provider(s) an IHP; and

  (b) ensure that the IHP is available to school personnel.

  (2) Any task being delegated by a registered nurse shall be identified within the patient's current IHP.

  (3)(a) A registered nurse shall personally train any unlicensed person who will be delegated the task of administering medications that are routine for the student.

  (b) The training required under this Subsection (3)(a) shall be performed at least annually.

  (c) A registered nurse may not delegate to an unlicensed person the administration of any medication:

  (i) with known, frequent side effects that can be life threatening;

  (ii) that requires the student's vital signs or oxygen saturation to be monitored before, during or after administration of the drug;

  (iii) that is being administered as a first dose in a school setting:

  (A) of a new medication; or

  (B) after a dosage change; or

  (iv) that requires nursing assessment or judgment prior to or immediately after administration.

  (d) In addition to delegating other tasks pursuant to this rule, a registered nurse may delegate to an unlicensed person who has been properly trained regarding a diabetic student's IHP:

  (i) the administration of a scheduled dose of insulin; and

  (ii) the administration of glucagon in an emergency situation, as prescribed by the practitioner's order or specified in the IHP.