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24.159.1604    TASKS WHICH MAY BE ROUTINELY ASSIGNED TO AN UNLICENSED PERSON IN ANY SETTING WHEN A NURSE-PATIENT RELATIONSHIP EXISTS

(1) The following are tasks that are not within the exclusive scope of a licensed nurse's practice and may be within the scope of sound nursing practice to be assigned to a UAP:

(a) noninvasive and nonsterile treatments unless otherwise prohibited by these rules;

(b) the collecting, reporting, and documentation of data including, but not limited to:

(i) vital signs, height, weight, intake and output;

(ii) changes from baseline data established by the nurse;

(iii) environmental situations;

(iv) patient or family comments relating to the patient's care;

(v) behaviors related to the plan of care.

(c) ambulation, positioning, and turning;

(d) personal hygiene and elimination;

(e) oral feeding, cutting up food, or placing of meal trays;

(f) socialization activities;

(g) activities of daily living;

(h) assisting with self-administration of medications where the following acts are used:

(i) verbal suggestions, prompting, reminding, gesturing, or providing a written guide for self-administering medications;

(ii) handing a prefilled, labeled medication holder, labeled unit dose container, syringe, or original marked, labeled container from the pharmacy to the patient;

(iii) opening the lid of the above-referenced container for the patient;

(iv) guiding the hand of the patient to self-administer the medication;

(v) holding and assisting the patient in drinking fluid to assist in the swallowing of oral medications;

(vi) assisting with removal of a medication from a container for residents with a physical disability which prevents independence in the act.

History: 37-8-202, MCA; IMP, 37-8-202, MCA; NEW, 1994 MAR p. 1424, Eff. 5/27/94; TRANS & AMD, 2005 MAR p. 1291, Eff. 7/1/05; TRANS, from Commerce, 2006 MAR p. 2035.

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