Section 12.44.966. Delegation of the administration of injectable medication.

	(a)  The administration of injectable medication is a specialized nursing task that may be delegated under the standards set out in 12 AAC 44.950(a), (c), and (d) and this section.  
	(b)  The administration of injectable medication may be delegated only by an advanced nurse practitioner to a certified medical assistant. The certified medical assistant may only perform the delegated duty in a private or public ambulatory care setting, and the advanced nurse practitioner must be immediately available on site when the certified medical assistant is administering injectable medication.  
	(c)  The certified medical assistant to whom the administration of an injectable medication is to be delegated must successfully complete a training course in administration of medication that is approved by the board and specific to the allowed medications.  
	(d)  To delegate to a certified medical assistant the administration of an injectable medication to a patient the written instructions provided to the certified medical assistant under 12 AAC 44.950(a)(7) must also include the information required in 12 AAC 44.965(d)(1) - (3).  
	(e)  The delegating advanced nurse practitioner is responsible for ensuring that the certified medical assistant maintains a national certification and for reviewing a current criminal background check upon hire, to be reviewed at five-year intervals. If the certified medical assistant has been convicted of a crime that, under AS 08.68.270 and 12 AAC 44.705, is substantially related to the qualifications, functions, or duties of a certified nurse aide, registered nurse, or practical nurse, the advanced nurse practitioner may not delegate the administration of injectable medications to that certified medical assistant.  
	(f)  Repealed 3/19/2014.  
	(g)  The delegating advanced nurse practitioner is responsible for ensuring that the certified medical assistant monitors the patient's response to the injection for a minimum of 15 minutes and reports and responds to any adverse reactions.  
	(h)  In this section,  
		(1) "certified medical assistant" means a person who is currently nationally certified as a medical assistant by a national body accredited by the National Commission for Certifying Agencies (NCCA) and meets the requirements of this section;  
		(2) "immediately available on site" means that the advanced nurse practitioner is present on site in the unit of care and not otherwise engaged in a procedure or task that the nurse practitioner may not immediately leave when needed;  
		(3) "allowed injectable medication" means  
			(A) B vitamins;  
			(B) diphenhydramine;  
			(C) medroxyprogesterone acetate;  
			(D) epinephrine delivered by autoinjector;  
			(E) ketoralac;  
			(F) vaccines;  
			(G) purified protein derivative (PPD);  
			(H) antibiotics that do not require reconstitution;  
			(I) rocephin;  
			(J) kenalog;  
			(K) rhogam  
			(L) imitrex;  
			(M) clindamycin  
			(N) reglan;  
			(O) erythropoetin stimulating agent (procrit, aranesp) - SQ.  

Authorities

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

Notes

Reference

12 AAC 44.970

Authority

AS 08.68.100 AS 08.68.805 AS 08.68.850 Editor's note: 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 44.966, 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. 5/7/2010, Register 194; am 3/19/2014, Register 209

References

12.44.966