Section 12.44.965. Delegation of the administration of medication.

	(a)  The administration of medication is a specialized nursing task that may be delegated under the standards set out in 12 AAC 44.950, 12 AAC 44.960, and this section.  
	(b)  Administration of medication may be delegated only to a  
		(1) "home and community-based services provider" as defined in 7 AAC 43.1110(8);  
		(2) "residential supported living services provider" as defined in 7 AAC 43.1110(15); or  
		(3) "school setting provider"; in this paragraph, "school setting provider" means a person who is employed at a school that provides educational services to students age 21 or younger.  
	(c)  The person to whom the administration of medication is to be delegated must successfully complete a training course in administration of medication approved by the board.  
	(d)  To delegate to another person the administration of routinely scheduled oral, topical, transdermal, nasal, inhalation, optic, otic, vaginal, or rectal medications to a patient the written instructions provided to the person under 12 AAC 44.950(a)(7) must also include  
		(1) directions for the storage and administration of medication, including the brand and generic name of the medication, the dosage amount and proper measurement, timing of the administration, recording the administration, the expected outcome of administration, and any contraindications to administration;  
		(2) possible interactions of medications;  
		(3) how to observe and report side effects, complications, errors, missed doses, or unexpected outcomes of the medications and appropriate response to such developments; and  
		(4) if the delegating nurse is not available on-site, the action that the person must take when medications are changed by order of a health care provider, including how to notify the delegating nurse of the change, how the delegating nurse will receive verification from the health care provider of the medication change, and how the nurse is to notify the other person if the administration of the change of medication is delegated.  
	(e)  The administration of PRN medication, other than controlled  substances, may be delegated under this section if a nurse is not available on-site. Before the administration of PRN medications may be delegated, the nurse shall first assess the patient to determine whether on-site patient assessment will be required before administration of each dose of PRN medication. The written instructions provided to the person under 12 AAC 44.950(a)(7) must meet the requirements of (d) of this section, and must also include  
		(1) when to administer the PRN medication to the patient;  
		(2) the procedure to follow for the administration of the PRN medication, including dosage amount, frequency, and duration; and  
		(3) the circumstances under which the person should contact the delegating nurse.  

Authorities

08.68.100;08.68.805;08.68.850;44.62.125;01.05.031;08.68.405;08.68.410

Notes

Reference

12 AAC 44.966
7 AAC 10.1070
7 AAC 130.227

Authority

AS 08.68.100 AS 08.68.805 AS 08.68.850 Editor's note: As of Register 176 (January 2006), the regulations attorney made a technical revision under AS 44.62.125(b)(6), to 12 AAC 44.965(e)(3). In 2010 the revisor of statutes, acting under AS 01.05.031, renumbered former AS 08.68.405 as AS 08.68.805, and renumbered former AS 08.68.410 as AS 08.68.850. As of Register 196 (January 2011), the regulations attorney made conforming technical revisions under AS 44.62.125(b)(6), to the authority citation that follows 12 AAC 44.965, so that citations to former AS 08.68.405 and AS 08.68.410 now refer to the renumbered statutes, AS 08.68.805 and AS 08.68.850.

History

Eff. 10/14/2004, Register 172; am 11/4/2004, Register 172; am 12/23/2009, Register 192; am 12/27/2012, Register 204; am 8/10/2016, Register 219

References

12.44.965