1. (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.
2. (b) The administration of injectable medication may be delegated only by an advanced practice registered nurse 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 practice registered nurse must be immediately available on site when the certified medical assistant is administering injectable medication.
3. (c) Repealed 5/16/2018.
4. (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).
5. (e) The delegating advanced practice registered nurse 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 practice registered nurse may not delegate the administration of injectable medications to that certified medical assistant.
6. (f) Repealed 3/19/2014.
7. (g) The delegating advanced practice registered nurse 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.

8. (h) In this section,

   1. (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. (2) "immediately available on site" means that the advanced practice registered nurse is present on site in the unit of care and not otherwise engaged in a procedure or task that the advanced practice registered nurse may not immediately leave when needed;
   3. (3) repealed 5/16/2018.
9. (i) An advanced practice registered nurse may not delegate to a certified medical assistant or unlicensed assistive personnel the injection of a controlled substance under state or federal law.

(Eff. 5/7/2010, Register 194; am 3/19/2014, Register 209; am 5/16/2018, Register 226)

Authority: AS 08.68.100, AS 08.68.805, AS 08.68.850