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24.159.1631    ADVANCED DELEGATION TO UAP NURSING STUDENTS

(1) A nursing student who is working as a UAP in any setting may receive delegation of the advanced nursing tasks identified in this rule if:

(a) the UAP nursing student is supervised at the level determined by the delegating nurse in accordance with these rules; and

(b) the nursing student is:

(i) currently enrolled in a state nursing board-approved nursing education program or a state nursing commission-approved nursing education program;

(ii) in good academic standing; and

(iii) whose satisfactory completion of fundamentals of nursing course, as defined in ARM 24.159.1602, has been verified by the facility's chief nursing officer; and

(iv) as a condition of receiving delegation of medication administration, has satisfactorily completed a pharmacology course, as defined in ARM 24.159.1602 and completion has been verified by the facility's chief nursing officer.

(2) A UAP nursing student may receive delegation of the following advanced nursing tasks:

(a) calculation of medication dose;

(b) administration of medications:

(i) by mouth;

(ii) sublingually;

(iii) by subcutaneous injection;

(iv) by intramuscular injection;

(v) per tube;

(vi) by aerosol/inhalation; and

(vii) by suppository;

(c) administration of topical:

(i) opiates;

(ii) cardiovascular medications;

(iii) anesthetic medications; and

(iv) systemic medications;

(d) insertion of peripheral IV catheters;

(e) hanging, without additives, IV fluids including:

(i) lactated Ringer's (LR) ;

(ii) normal saline (NS) ;

(iii) 5 percent dextrose in sterile water (D5W) ;

(iv) 5 percent dextrose in normal saline (D5NS) ;

(v) 5 percent dextrose in .45 percent saline (D51/2NS) ; and

(vi) 5 percent dextrose in lactated Ringer's (D5LR) ;

(f) adjusting IV flow rates; and

(g) any other nursing tasks for which the student has received instruction within the nursing program, as confirmed by official transcript and course description, and allowed by facility job description.

(3) A UAP nursing student may not receive delegation of:

(a) the nursing assessment;

(b) development of the nursing diagnosis;

(c) establishment of the nursing care plan;

(d) development of the nursing care plan;

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

(f) patient triage;

(g) medication administration by intravenous injection or drip;

(h) administration of:

(i) blood products;

(ii) chemotherapeutic agents; or

(iii) total parenteral nutrition (TPN) , hypertonic solutions, or IV additives;

(i) insertion of:

(i) central IV catheters; or

(ii) 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; or

(v) epidural catheters;

(k) ability to receive verbal orders from providers; and

(l) teaching or counseling a patient or a patient's family relating to nursing and nursing services.

History: 37-1-131, 37-8-202, MCA; IMP, 37-1-131, 37-8-202, MCA; NEW, 2005 MAR p. 1291, Eff. 7/1/05; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, Eff. 8/25/06.

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