A licensed nurse must meet the following requirements before delegating the administration of a specific medication as provided in § 20:48:04.01:18:

1. (1) Provide instruction to the nursing assistant on the specific medication to be administered, including:

   1. (a) The trade name and generic name;
   2. (b) The purpose of the medication;
   3. (c) Signs and symptoms of common side effects, warnings, and precautions;
   4. (d) Route of administration; and
   5. (e) When to contact the licensed nurse;

2. (2) Verify, through the administration of a test or observation, that the nursing assistant knows:

   1. (a) The six rights of medication administration, including the right client, right medication, right dose, right route, right time, and right documentation;
   2. (b) The name of the medication and common dosage:
   3. (c) The signs and symptoms of side effects for the medication;
   4. (d) Circumstances when the licensed nurse should be contacted;
   5. (e) How to administer the medication to the client; and
   6. (f) How to document the medication administration;
3. (3) Observe the nursing assistant administering the medication to the client until the nursing assistant demonstrates competency;
4. (4) Document the training provided to the nursing assistant; and

5. (5) Evaluate the client when medication orders change to determine if further instruction of the nursing assistant is needed.

   A licensed nurse who delegates the administration of insulin under this section shall follow the requirements of §§ 20:48:04.01:16 and 20:48:04.01:17.

Source: 49 SDR 51, effective November 27, 2022 .

General Authority: SDCL 13-33A-2 , 36-9-21 .

Law Implemented: SDCL 13-33A-1 , 36-9-3 , 36-9-4 , 36-9-4 .1, 36-9-21 .