<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2ba1188b-948f-42f5-b2cf-d74803f7155eP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s2ba1188b-948f-42f5-b2cf-d74803f7155eC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000002 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2ba1188b-948f-42f5-b2cf-d74803f7155e000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000000">20:48:04.01:11</span></a><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">.  Medication administration tasks that require a written protocol.</span><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> </span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000002">A registered nurse must develop, and maintain on file, a written protocol that includes specific medication administration instructions and training requirements, before delegating the following medication administration tasks to a nursing assistant</span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">:</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    (1)  Administration of the initial dose of a medication that has not been previously administered to the client;</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    (2)  Administration of medications on an as-needed basis, including schedule II controlled substances listed in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B-16"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">34-20B-16</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> and </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B-17"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">34-20B-17</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> </span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">that are prescribed and labeled in a container for a specific client</span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">; and</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    (3)  Administration of insulin by the subcutaneous route</span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, when a licensed nurse is not available to administer the insulin,</span><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> in accordance with §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:16"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">20:48:04.01:16</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:17"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">20:48:04.01:17</span></a><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">Source:</span><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> 21 SDR 13, effective August 7, 1994; 26 SDR 174, effective July 4, 2000; 41 SDR 12, effective July 31, 2014</span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">; 49 SDR 51, effective November 27, 2022</span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">General Authority:</span><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">13-33A-2</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-21</span></a><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">Law Implemented:</span><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">13-33A-1</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-3</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-4</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-4</span></a><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-21</span></a><span class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p></div></body></html>