1. (1) before a registered nurse may delegate a task to be performed within a school setting, the registered nurse shall:

   1. (a) develop an IHP in conjunction with the student and each applicable parent or parent surrogate, educator, and healthcare provider;
   2. (b) if a student's health condition requires special consideration, ensure that an EAP is available to school personnel; and
   3. (c) identify each task within the student's current IHP;

2. (2)(a) a registered nurse shall personally train each unlicensed person who will be delegated the task of administering medications that are routine for the student;

   1. (b) the training required under Subsection (2)(a) shall be performed at least annually; and

3. (3) a registered nurse may not delegate to an unlicensed individual the administration of medication:

   1. (a) that has known, frequent side effects that can be life threatening;
   2. (b) that requires the student's vital signs or oxygen saturation to be monitored before, during, or after administration;

   3. (c) that is being administered as a first dose in a school setting:

      1. (i) of a new medication;
      2. (ii) after a dosage change; or
      3. (iii) that requires nursing assessment or judgment before or immediately after administration; and

   4. (d) in addition to delegating other tasks pursuant to this rule, a registered nurse may delegate to an unlicensed individual who has been properly trained, the following tasks regarding a diabetic student's IHP:

      1. (i) the administration of a scheduled dose of insulin; and
      2. (ii) the administration of glucagon in an emergency, as prescribed by the practitioner's order or specified in the IHP or EAP.

In addition to Section R156-31b-701a, the following requirements apply to the delegation of tasks by a registered nurse in a school setting:

KEY: licensing, nurses

Date of Last Change: January 16, 2025

Notice of Continuation: October 27, 2022

Authorizing, and Implemented or Interpreted Law: 58-31b-101; 58-1-106(1)(a); 58-1-202(1)(a)