(1) The following nursing functions require nursing knowledge, judgment, and skill and may not be delegated:

(a) the nursing assessment;

(b) development of the nursing diagnosis;

(c) establishment of the nursing care goal;

(d) development of the nursing care plan; and

(e) evaluation of the patient's progress, or lack of progress, toward goal achievement.

(2) Nursing interventions, including but not limited to the following, require nursing knowledge, judgment, and skill and may not be delegated except as provided in ARM 24.159.1616, 24.159.1630, 24.159.1631, 24.159.1636, and 24.159.1640:

(a) calculation of any medication dose;

(b) administration of medications:

(i) by mouth;

(ii) sublingually;

(iii) by subcutaneous injection;

(iv) by intramuscular injection;

(v) intravenous injection or drip;

(vi) per tube;

(vii) by aerosol/inhalation; or

(viii) by suppository;

(c) administration of topical:

(i) opiates;

(ii) cardiovascular medications;

(iii) anesthetic medications; or

(iv) systemic medications;

(d) administration of blood products;

(e) administration of chemotherapeutic agents; and

(f) administration of total parenteral nutrition (TPN) , hypertonic solutions, or IV additives;

(g) insertion of peripheral IV catheters;

(h) insertion of central IV catheters;

(i) insertion of nasogastric or other feeding tubes;

(j) removal of:

(i) endotracheal tubes;

(ii) chest tubes;

(iii) Jackson-Pratt drain tubes (JP tubes) ;

(iv) arterial or central catheters; and

(v) epidural catheters; and

(k) patient triage.

(3) A nurse may not delegate to a UAP the authority to receive verbal orders from providers.

(4) A nurse may not delegate to a UAP the task of teaching or counseling patients or a patient's family relating to nursing and nursing services.