<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb6d25c84-65cd-4cac-b154-fbc5eb468a50000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } 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0; margin-bottom: 0; margin-left: 1.60in; margin-right: 0; text-indent: -1.60in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } p.sb6d25c84-65cd-4cac-b154-fbc5eb468a50P1-000006 { 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%; } </style></head><body><div><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000000">20:48:04.01</span></a></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50000001"> </span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0">DELEGATION OF NURSING TASKS</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50000001"> </span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50000001"> </span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">Section</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        General criteria for delegation.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Supervision.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:03"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Repealed.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:04"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Repealed.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:05"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Repealed.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:06"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Repealed.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:07"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Nursing tasks that may not be delegated.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:08"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:08</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Repealed.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        </span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">Requirements</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003"> for delegated medication administration</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003"> to a nursing assistant</span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09.01"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:09.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">    Delegation of medication administration tasks to a nursing assistant.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:10"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:10</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        </span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">Delegation of additional medication administration tasks to a medical assistant.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P1"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:11</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Medication administration tasks that require </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">a </span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">written protocol.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:12"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:12</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Medication administration tasks that may not be delegated.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:13"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:13</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Approval of training program required for delegated medication administration.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P1-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:14</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        </span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">Requirements</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003"> for approval of medication administration training programs.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P1-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14.01"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:14.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">    Standards for medication administration training programs.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Medication administration curriculum.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:16"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Written protocol required for the delegation of insulin administration by the subcutaneous route to </span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">a nursing assistant</span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:17"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:17</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Qualifications of the registered nurse for delegation of insulin administration by the subcutaneous route to </span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">a nursing assistant</span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:18</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Delegation of specific medication administration.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:19"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:19</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Training required for the delegation of specific medication administration.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:20"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:20</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Tracheostomy care and suctioning -- Requirements for delegation to a nursing assistant.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:21"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:21</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Tracheostomy care and suctioning -- Tasks that may be delegated -- Written protocol required.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:22"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:22</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Tracheostomy care and suctioning -- Training.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:23"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:23</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        Delegation of tasks to a certified nurse aide.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:24"><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000004">20:48:04.01:24</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">        </span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">Gastrostomy tube insertion and removal -- Requirements for the delegation to a nursing assistant</span><span style="white-space: pre-wrap;" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50C0-000003">.</span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50000001"> </span></p><p dir="ltr" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb6d25c84-65cd-4cac-b154-fbc5eb468a50000001"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0 { 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.sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; 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0; } </style></head><body><div><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000000">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000001">.  General criteria for delegation.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">A licensed</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> registered nurse is responsible for the nature and quality of nursing care that a client receives under the nurse's direction. </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> licensed nurse may delegate selected nursing tasks to </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">a nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">. </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">A nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> may </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">not substitute for</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> the licensed nurse in the performance of nursing functions. </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">A nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> may not redelegate a delegated </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">task</span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">.</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">A licensed</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> nurse </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">shall assess</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> a situation and </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">determine whether delegating nursing tasks to a nursing assistant is appropriate</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">. The delegation of nursing tasks to </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">a nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> must comply with the following criteria:</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    (1)  The nursing task is one that a reasonable and prudent licensed nurse would find within the scope of sound nursing judgment to delegate;</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    (2)  The nursing task is one that, in the opinion of the delegating nurse, can be properly and safely performed by </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">a nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> without jeopardizing the client's welfare;</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    (3)  The nursing task does not require </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">a nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> to exercise nursing judgment;</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    (4)  The licensed nurse evaluates the client's nursing care needs before delegating the nursing task;</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    (5)  The licensed nurse verifies that the </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> is competent to perform the nursing task; and</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    (6)  The licensed nurse supervises the performance of the delegated nursing task in accordance with the requirements of §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000003"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">.</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> 21 SDR 13, effective August 7, 1994; 26 SDR 174, effective July 4, 2000</span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">.</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">36-9-21</span></a><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">.</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">    </span><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004">36-9-21</span></a><span style="white-space: pre-wrap;" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0">.</span></p><p dir="ltr" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0 { 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.s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s64f8804b-9d49-4fb2-aa07-6a0ceae5f211000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003 { 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="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000000">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000001">.  Supervision.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> The licensed nurse shall </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">supervise</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> all nursing tasks delegated to </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">a nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> in accordance with the following conditions:</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211000002"> </span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">    (1)  The licensed nurse determines the degree of supervision required after considering:</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211000002"> </span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">        (a)  The stability of the client's condition;</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">        (b)  The competency of the </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> to whom the nursing task is delegated;</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">        (c)  The nature of the nursing task being delegated; and</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">        (d)  The proximity and availability of the licensed nurse to the </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> when the nursing task </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> performed;</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211000002"> </span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">    (2)  The delegating nurse or another licensed nurse is readily available either in person or by </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">electronic communication</span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">; and</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211000002"> </span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">    (3)  If the </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> is providing care in the client's home, the time interval between supervisory visits and whether the visit is conducted in person or via </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">electronic communication</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> is determined by the licensed nurse in accordance with § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">. The visit </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> occur no less than once every 60 days.</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211000002"> </span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">    </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> 21 SDR 13, effective August 7, 1994; 26 SDR 174, effective July 4, 2000</span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">.</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">    </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">.</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">    </span><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211C0">.</span></p><p dir="ltr" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s64f8804b-9d49-4fb2-aa07-6a0ceae5f211000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 20:48:04.01:03 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04.01:03"> <META NAME="Description" Content="Administrative Rules 20:48:04.01:03 Repealed."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04.01:03.&nbsp;&nbsp;Definition of assistance with self-administration of medications.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04.01:04 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04.01:04"> <META NAME="Description" Content="Administrative Rules 20:48:04.01:04 Repealed."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04.01:04.&nbsp;&nbsp;Nursing tasks that may routinely be delegated.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04.01:05 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04.01:05"> <META NAME="Description" Content="Administrative Rules 20:48:04.01:05 Repealed."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04.01:05.&nbsp;&nbsp;Criteria for the delegation of nursing tasks that may not be routinely delegated.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04.01:06 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04.01:06"> <META NAME="Description" Content="Administrative Rules 20:48:04.01:06 Repealed."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04.01:06.&nbsp;&nbsp;Nursing tasks that may not be routinely delegated.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.</p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0 { 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.s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003 { 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="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:07"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000000">20:48:04.01:07</span></a><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">.  Nursing tasks that may not be delegated.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> licensed nurse may not delegate to </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">a nursing assistant</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">:</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (1)  Assessments </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> require professional nursing judgment, intervention, referral, or follow-up;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (2)  Formulation of the plan o</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">f</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> nursing care and evaluation of the client's response to the care rendered;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (3)  </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">T</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">asks involved in the implementation of the plan of care </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> require nursing judgment or intervention, </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">including:</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (a)  S</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">terile procedures involving a wound or anatomical site </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> could become infected</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, except urinary catheterization</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (b)  N</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">asogastric tube feeding;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (c)  N</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">asogastric, jejunostomy</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> and gastrostomy tube insertion or removal;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> and</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (d)  T</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">racheostomy care and suctioning</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, except as permitted by </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">§§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:20"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">to</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:22"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">22</span></a><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, inclusive</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (4)  Administration of medications, except as permitted by §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">to</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:11</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, inclusive, and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:18</span></a><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (5)  </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">Acceptance of medical</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> orders; and</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (6)  Health counseling and health teaching.</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> 21 SDR 13, effective August 7, 1994; 26 SDR 174, effective July 4, 2000</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">; 49 SDR 51, effective November 27, 2022; 52 SDR 24, effective September 8, 2025</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">.</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">.</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4.1"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-4.1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">(4)</span><span style="white-space: pre-wrap;" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">.</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 20:48:04.01:08 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04.01:08"> <META NAME="Description" Content="Administrative Rules 20:48:04.01:08 Repealed."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04.01:08.&nbsp;&nbsp;Client education.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.</p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sab44b514-e5a9-4f44-977b-d5bd647df192P0 { 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.sab44b514-e5a9-4f44-977b-d5bd647df192C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sab44b514-e5a9-4f44-977b-d5bd647df192C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sab44b514-e5a9-4f44-977b-d5bd647df192C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sab44b514-e5a9-4f44-977b-d5bd647df192000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sab44b514-e5a9-4f44-977b-d5bd647df192C0-000004 { color: black; background: #FFFFFF; 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="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000000">20:48:04.01:09</span></a><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000001">.  Requirements for delegated medication administration to a nursing assistant.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> A licensed nurse may delegate the administration of medications authorized under §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">20:48:04.01:</span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">09</span></a><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">.01</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">20:48:04.01:11</span></a><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">, inclusive,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> </span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">to a nursing assistant who:</span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192000003"> </span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">    (1)  Has</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> a minimum of a high school education or the equivalent</span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">;</span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">    (2)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000004">Completed a </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">board-approved medication administration training program in accordance with § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:13"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">20:48:04.01:13</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> or </span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000004">c</span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">ompleted a program that the board determines is equivalent; and</span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">;</span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">    (3)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000004">If </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">administering medications in a skilled nursing facility, assisted living center, or a hospital, licensed under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">34-12</span></a><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">, are registered with the board in a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000004">ccordance with chapter </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:16"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">20:48:16</span></a><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">.</span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192000003"> </span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">    </span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> 21 SDR 13, effective August 7, 1994; 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">.</span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">    </span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">.</span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">    </span><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="sab44b514-e5a9-4f44-977b-d5bd647df192C0">.</span></p><p dir="ltr" class="sab44b514-e5a9-4f44-977b-d5bd647df192P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sab44b514-e5a9-4f44-977b-d5bd647df192000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0 { 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.sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000002 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd0ed2ef4-4d9e-454d-8b19-bde25fa79459000004 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09.01"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000000">20:48:04.01:09.01</span></a><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000001">.  Delegation of medication administration tasks to a nursing assistant.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">A licensed nurse may delegate the following medication administration </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000002">tasks to a nursing </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">assistant if the delegation complies with the general criteria for delegation and supervision set forth in §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">, respectively</span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">:</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459000004"> </span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    (1)  </span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">Administration of scheduled medications by oral, sublingual, eye, ear, nasal, rectal, topical, transdermal, vaginal, or inhalation route</span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">;</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    (2)  </span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">Measurement of a prescribed amount of liquid medication or crushing a tablet for administration if a licensed nurse, physician, or pharmacist has calculated the dose; and</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    (3)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">Administration of schedule II controlled substances listed in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B-16"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">34-20B-16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0"> and </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B-17"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">34-20B-17</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0"> that are prescribed and labeled in a container for a specific client.</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459000004"> </span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">If the nursing assistant is administering medications in a hospital setting, a registered nurse must provide direct supervision as defined in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:01:01"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">20:48:01:01</span></a><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">.</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459000004"> </span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    </span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0"> </span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">.</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    </span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">.</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">    </span><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459C0">.</span></p><p dir="ltr" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd0ed2ef4-4d9e-454d-8b19-bde25fa79459000004"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0 { 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.s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s72db8c8b-285d-4b25-90fd-8b678bdbfbc6000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:10"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000000">20:48:04.01:10</span></a><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000001">.  Delegation of additional medication administration tasks to a medical assistant.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0"> In addition to the tasks listed in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09.01"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">20:48:04.01:09.01</span></a><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">, a licensed nurse may delegate the following medication administration tasks to</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0"> a medical assistant, who holds current certification with a national certification body approved by the board, in a stable nursing situation as defined in </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:01:01"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">20:48:</span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">01:01</span></a><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">:</span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6000003"> </span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">    (1)  Administration of scheduled medications by intradermal, subcutaneous, or intramuscular route; and</span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">    (2)  </span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">Calculation of the dose</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0"> of a prescribed amount of medication</span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">.</span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6000003"> </span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">    </span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0"> 21 SDR 13, effective August 7, 1994; 26 SDR 174, effective July 4, 2000</span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">.</span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">    </span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">.</span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">    </span><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6C0">.</span></p><p dir="ltr" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72db8c8b-285d-4b25-90fd-8b678bdbfbc6000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>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 style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000000">20:48:04.01:11</span></a><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">.  Medication administration tasks that require a written protocol.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">:</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">34-20B-16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> and </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B-17"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">34-20B-17</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> </span><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">that are prescribed and labeled in a container for a specific client</span><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">; and</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    (3)  Administration of insulin by the subcutaneous route</span><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, when a licensed nurse is not available to administer the insulin,</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">20:48:04.01:16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:17"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">20:48:04.01:17</span></a><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">Source:</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-21</span></a><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">    </span><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0-000004">36-9-21</span></a><span style="white-space: pre-wrap;" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eC0">.</span></p><p dir="ltr" class="s2ba1188b-948f-42f5-b2cf-d74803f7155eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s2ba1188b-948f-42f5-b2cf-d74803f7155e000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s5ad49200-6970-47fe-8d3c-70e70852304dP0 { 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.s5ad49200-6970-47fe-8d3c-70e70852304dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s5ad49200-6970-47fe-8d3c-70e70852304dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5ad49200-6970-47fe-8d3c-70e70852304dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5ad49200-6970-47fe-8d3c-70e70852304d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003 { 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="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:12"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000000">20:48:04.01:12</span></a><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000001">.  Medication administration tasks that may not be delegated.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> </span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> licensed nurse may not delegate the following tasks of medication administration:</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304d000002"> </span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    (1)  Administration of schedule II controlled substances listed in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B-16"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">34-20B-16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> and </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B-17"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">34-20B-17</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> from a locked stock supply;</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304d000002"> </span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    (2)  Administration of medications by subcutaneous, intramuscular, intradermal, or intravenous route except as authorized in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:10"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">20:48:04.01:1</span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">0</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:16"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">20:48:04.01:16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> to </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">20:48:04.01:18</span></a><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">, inclusive</span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">;</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304d000002"> </span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    (3)  Administration of medications by way of a tube inserted in a cavity of the body</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">, except as authorized in </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">20:48:04.01:1</span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">8</span></a><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">;</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304d000002"> </span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    (4)  Administration of medications via inhalation route in a complex nursing situation as defined in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:01:01"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">20:48:01:01</span></a><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">; and</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304d000002"> </span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    (5)  Calculation of any medication dose</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">, except as authorized in </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:10"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">20:48:04.01:1</span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">0</span></a><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">.</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304d000002"> </span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    </span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> 21 SDR 13, effective August 7, 1994; 26 SDR 174, effective July 4, 2000; 28 SDR 36, effective September 18, 2001; 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">.</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    </span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">(4).</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">    </span><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s5ad49200-6970-47fe-8d3c-70e70852304dC0">.</span></p><p dir="ltr" class="s5ad49200-6970-47fe-8d3c-70e70852304dP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s5ad49200-6970-47fe-8d3c-70e70852304d000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s0ed3b711-37e6-4cc0-95de-a61c4c363f01P0 { 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.s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0ed3b711-37e6-4cc0-95de-a61c4c363f01000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:13"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000000">20:48:04.01:13</span></a><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000001">.  Approval of training program required for delegated medication administration.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> Medication administration as outlined in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09.01"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">20:48:04.01:</span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">09.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> to </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">20:48:04.01:11</span></a><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">, inclusive,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> may be delegated to individuals who have successfully completed a training program approved by the board pursuant to §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">20:48:04.01:14</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> </span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">to</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">, inclusive</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">. </span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> training program must </span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">apply for renewal</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> every two years.</span></p><p dir="ltr" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01000003"> </span></p><p dir="ltr" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">    </span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> 21 SDR 13, effective August 7, 1994; 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">.</span></p><p dir="ltr" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">    </span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">.</span></p><p dir="ltr" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">    </span><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01C0">.</span></p><p dir="ltr" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0ed3b711-37e6-4cc0-95de-a61c4c363f01000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s97495372-1ab3-40b6-b36e-c8694e5bf040P0 { 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.s97495372-1ab3-40b6-b36e-c8694e5bf040C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s97495372-1ab3-40b6-b36e-c8694e5bf040000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003 { 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="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000000">20:48:04.01:14</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000001">.  </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000001">Requirements</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000001"> for approval of medication administration training programs.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> An institution or individual must submit an application </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">for a training program for delegated medication administration for approval </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">to the board. The board </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">shall</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> grant approval to an applicant upon proof that the training program:</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040000002"> </span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    (1)  </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">I</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">s based on the training curriculum in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">;</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040000002"> </span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    (2)  I</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">ncludes no less than 16 hours of </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">theoretical</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> instruction</span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">;</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040000002"> </span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    (</span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">3</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">Is taught by </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">a registered nurse who has a minimum of two years of clinical nursing experience</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> and who holds a registered nurse license from the board or privilege to practice</span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">;</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040000002"> </span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    (4)  Includes no less than four hours of clinical or laboratory instruction that is taught by a registered nurse or licensed practical nurse who has a minimum of two years of clinical nursing experience and who holds a registered nurse or licensed practical nurse license from the board or privilege to practice.</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040000002"> </span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    The training program must submit an evaluation </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">to the board every two years to demonstrate compliance with program standards in </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14.01"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">20:48:04.01:1</span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">4.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> to maintain approval.</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040000002"> </span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> 21 SDR 13, effective August 7, 1994; 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">.</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">.</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">    </span><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s97495372-1ab3-40b6-b36e-c8694e5bf040C0">.</span></p><p dir="ltr" class="s97495372-1ab3-40b6-b36e-c8694e5bf040P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s97495372-1ab3-40b6-b36e-c8694e5bf040000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sde4ab916-d749-40d4-b751-42fc056647d7P0 { 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.sde4ab916-d749-40d4-b751-42fc056647d7C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sde4ab916-d749-40d4-b751-42fc056647d7C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sde4ab916-d749-40d4-b751-42fc056647d7C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sde4ab916-d749-40d4-b751-42fc056647d7000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sde4ab916-d749-40d4-b751-42fc056647d7C0-000003 { 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="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14.01"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000000">20:48:04.01:14.01</span></a><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000001">.  Standards for medication administration training programs.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0"> </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">An individual or institution approved by the board to offer a medication administration training program must ensure the training program meets the following standards:</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    (1)  </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">Maintains a faculty-to-student ratio that does not exceed 1:8 in the clinical setting and a faculty-to-student ratio that does not exceed 1:1 for skills performance evaluation</span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">;</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    (2)  </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">Requires the student to complete a skills performance evaluation administered by a registered nurse instructor utilizing a board-approved competency checklist;</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    (3)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">Requires the student to pass a written examination on the curriculum content in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">. A passing score of 85 percent is required on the examination. If the student fails the examination, the student may retake the test one time. If the student fails the retake, additional instruction is required before further testing is allowed;</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    (4)  </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">Awards a completion certificate to a student who successfully completes the training program. The certificate must include the name and location of the institution, the length of the program, the date of completion, the full name of the student who completed the program, the signature of the faculty member in charge of the course, and the date the certificate was awarded; and</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    (5)  </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">Maintains documentation of:</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">            (a)  </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">Each student enrolled in the program, including documentation of successful completion or the date and reason the student withdrew or failed</span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">;</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">            (b)  </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">Each faculty member teaching the program, including the qualifications and nursing experience of each faculty; and</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">            (c)  </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">All tests administered</span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">.</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0"> </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">49 SDR 51, effective November 27, 2022.</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">.</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">    </span><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sde4ab916-d749-40d4-b751-42fc056647d7C0">.</span></p><p dir="ltr" class="sde4ab916-d749-40d4-b751-42fc056647d7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sde4ab916-d749-40d4-b751-42fc056647d7000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sf93657e9-c872-48a4-b266-af17e18d5fefP0 { 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.sf93657e9-c872-48a4-b266-af17e18d5fefC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf93657e9-c872-48a4-b266-af17e18d5fefC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf93657e9-c872-48a4-b266-af17e18d5fefC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf93657e9-c872-48a4-b266-af17e18d5fef000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sf93657e9-c872-48a4-b266-af17e18d5fefP1 { 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.sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003 { 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="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000000">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000001">.  Medication administration curriculum.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> The training curriculum for delegated medication administration must include:</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    (1)  General information relevant to the administration of medications, including:</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (a)  Governmental regulations related to the practice of nursing, the administration of medication, and the storage, administration, and recording of controlled substances;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (b)  Ethical issues;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (c)  Terminology, abbreviations, and symbols;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (d)  Medication administration systems;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (e)  Forms of medication;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (f)  Procedures and routes of medication administration;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (g)  Medication references available;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (h)  The role of </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">nursing assistive</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> personnel in administering medications;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (i)  The rights of medication administration</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> including the</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> right patient, right medication, right dose, right time, right route, </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">and </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">right documentation;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (j)  Infection control policies and procedures;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (k)  Documentation;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (l)  Medication errors;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (m)  Safe medication storage and disposal; and</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (n)  Circumstances to consult with or report to the delegating nurse, including the administration of an as-needed medication, a deviation from the delegated instruction of the nurse, or a concerning observation;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    (2)  An overview of the major categories of medications related to the body systems, including:</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (a)  Cardiovascular;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (b)  Endocrine;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (c)  Gastrointestinal;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (d)  Integumentary</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> and mucous membranes</span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (e)  Musculoskeletal;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (f)  Nervous;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (g)  Reproductive;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (h)  Respiratory;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (i)  Sensory;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (j)  Urinary</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> and renal</span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">; and</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">        (k)  Immune;</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP1"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    (3)  </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">Instruction on</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> categories of medications relevant to the health care setting where the </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> will be </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">administering medications</span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">; and</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    (4)  Clinical or laboratory instruction </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">demonstrating</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> medication administration and evaluation of individual competence.</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> 21 SDR 13, effective August 7, 1994; 26 SDR 174, effective July 4, 2000; 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">.</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">.</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">    </span><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sf93657e9-c872-48a4-b266-af17e18d5fefC0">.</span></p><p dir="ltr" class="sf93657e9-c872-48a4-b266-af17e18d5fefP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf93657e9-c872-48a4-b266-af17e18d5fef000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sfe97768a-d468-464a-beb0-03f9567233a1P0 { 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.sfe97768a-d468-464a-beb0-03f9567233a1C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfe97768a-d468-464a-beb0-03f9567233a1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfe97768a-d468-464a-beb0-03f9567233a1C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfe97768a-d468-464a-beb0-03f9567233a1000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfe97768a-d468-464a-beb0-03f9567233a1C0-000003 { 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="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:16"><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000000">20:48:04.01:16</span></a><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000001">.  Written protocol required for the delegation of insulin administration by the subcutaneous route to a nursing assistant.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">Before a registered nurse may delegate</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> insulin administration by the subcutaneous route to </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">a nursing assistant,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> the registered nurse</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> must develop a written protocol</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">. The </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">written protocol must include the following requirements</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">:</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    (1) </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">The nursing assistant shall</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">c</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">omple</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">te</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> a five hour </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">b</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">oard</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">-</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">approved training in the following areas:</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (a)  Diabetes basics;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (b)  Hypoglycemia;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (c)  Hyperglycemia;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (d)  Blood glucose monitoring;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (e)  Glucagon administration;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (f)  Insulin types and methods of administration;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (g)  Nutrition and physical activity;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (h)  Documentation;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> and</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (i)  </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">Standard</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> precautions;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    (2)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">The nursing assistant shall pass a </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">written examination</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> on the areas listed in subdivision (1)</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">. A passing score of 85 percent is required on the test</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">If the nursing assistant fails the test, the nursing assistant may retake the test one time. If the nursing assistant fails the retake, additional instruction is required before further testing is allowed</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    (3)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">The nursing assistant shall complete a </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">minimum of five hours of clinical or laboratory instruction</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> including the demonstration of individual competence utilizing a </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">b</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">oard</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">-</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">approved competency checklist</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> in the following areas:</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (a)  Blood glucose monitoring;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (b)  Insulin administration;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (c)  Glucagon administration;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (d)  Carbohydrate counting</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> and </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">diet management;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> and</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">        (e)  </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">Standard</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> precautions;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    (4)  The registered nurse shall meet in-person with the nursing assistant, after completion of the requirements in subdivisions (1), (2), and (3), during a client s mealtime at least two times per week in the first four weeks to consult with the nursing assistant and to evaluate competence</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">;</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    (5)  </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">The registered nurse must be available by electronic communication at all mealtimes; and</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    (6)  </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">The registered nurse shall complete an annual review of the nursing assistant s competence in each area identified in subdivision</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> (3).</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">.</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000003">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">.</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">    </span><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000003">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sfe97768a-d468-464a-beb0-03f9567233a1C0">.</span></p><p dir="ltr" class="sfe97768a-d468-464a-beb0-03f9567233a1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfe97768a-d468-464a-beb0-03f9567233a1000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0 { 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.scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.scd796e64-276a-4a30-8f85-bcb7cc8f5dab000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:17"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000000">20:48:04.01:17</span></a><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000001">.  Qualifications of the registered nurse for delegation of insulin administration by the subcutaneous route to a nursing assistant.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> A registered nurse must meet the following </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">qualifications</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> to delegate insulin administration by the subcutaneous route to </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">a nursing assistant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> in accordance with §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">20:48:04.01:11</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">, </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:16"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">20:48:04.01:16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">, and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">20:48:04.01:18</span></a><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">:</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dab000003"> </span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    (1)  Hold an active registered nurse license or privilege to practice in </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">this state</span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">;</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dab000003"> </span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    (2)  Have two years of clinical nursing experience;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> and</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dab000003"> </span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    (3)  Have written evidence </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">of</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> demonstrated competence in the area of diabetes management in the past five years</span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> or completion of a diabetes trainer program approved by the </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">b</span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">oard; or</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dab000003"> </span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    (4)  Hold current specialty certification as a Certified Diabetes Educator (CDE).</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dab000003"> </span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">; 49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">.</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">.</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">    </span><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabC0">.</span></p><p dir="ltr" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dabP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="scd796e64-276a-4a30-8f85-bcb7cc8f5dab000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sc22e3952-73a7-4ef1-8763-73538bbc4cccP0 { 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.sc22e3952-73a7-4ef1-8763-73538bbc4cccC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000000">20:48:04.01:18</span></a><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000001">.  Delegation of specific medication administration.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">A registered nurse or licensed practical nurse may delegate the administration of one specific medication to be administered to one specific client by a specific nursing assistant, who has not met the requirements in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">20:48:04.01:09</span></a><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">, if:</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003"> </span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    (1)  </span><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">A registered nurse has determined that the administration of that one medication by the nursing assistant will allow the client to remain in the client s usual place of residence</span><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">;</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003"> </span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    (2)  The client does not reside in a nursing facility or assisted living center licensed under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">34-12</span></a><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">;</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003"> </span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    (3)  A licensed nurse is not available to administer the medication;</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003"> </span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    (4)  The delegation complies with the general criteria for delegation and supervision set forth in §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">, respectively;</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003"> </span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    (5)  The licensed nurse fulfills with the nursing assistant the training requirements in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:19"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">20:48:04.01:19</span></a><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">; and</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003"> </span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    (6)  The delegation is not prohibited by any other state statute, rule, federal statute, rule, or guidance.</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4ccc000003"> </span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000001">Source: </span><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">49 SDR 51, effective November 27, 2022.</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000001">General Authority: </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">.</span></p><p dir="ltr" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000001">Law Implemented: </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="sc22e3952-73a7-4ef1-8763-73538bbc4cccC0">.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s722ff8ac-c0cc-429e-9bae-be975301c12aP0 { 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.s722ff8ac-c0cc-429e-9bae-be975301c12aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s722ff8ac-c0cc-429e-9bae-be975301c12a000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:19"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000000">20:48:04.01:19</span></a><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000001">.  Training required for the delegation of specific medication administration.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">A licensed nurse must meet the following requirements before delegating the administration of a specific medication as provided in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">20:48:04.01:18</span></a><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">:</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    (1)  </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">Provide instruction to the nursing assistant on the specific medication to be administered, including</span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">:</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (a)  The trade name and generic name;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (b)  The purpose of the medication;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (c)  </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">Signs and symptoms of common side effects, warnings, and precautions</span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (d)  Route of administration; and</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (e)  When to contact the licensed nurse;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    (2)  </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">Verify, through the administration of a test or observation, that the nursing assistant knows</span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">:</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (a)  </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">The six rights of medication administration, including the right client, right medication, right dose, right route, right time, and right documentation</span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (b)  The name of the medication and common dosage:</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (c)  The signs and symptoms of side effects for the medication;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (d)  Circumstances when the licensed nurse should be contacted;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (e)  How to administer the medication to the client; and</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">            (f)  How to document the medication administration;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    (3)  </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">Observe the nursing assistant administering the medication to the client until the nursing assistant demonstrates competency</span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">;</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    (4)  </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">Document the training provided to the nursing assistant; and</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    (5)  </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">Evaluate the client when medication orders change to determine if further instruction of the nursing assistant is needed</span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">.</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">A licensed nurse who delegates the administration of insulin under this section shall follow the requirements of §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:16"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">20:48:04.01:16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:17"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">20:48:04.01:17</span></a><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">.</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0"> </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">49 SDR 51, effective November 27, 2022</span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">.</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">13-33A-2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">.</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">    </span><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">13-33A-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s722ff8ac-c0cc-429e-9bae-be975301c12aC0">.</span></p><p dir="ltr" class="s722ff8ac-c0cc-429e-9bae-be975301c12aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s722ff8ac-c0cc-429e-9bae-be975301c12a000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0 { 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.se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se7b07bc2-bea5-4220-ac85-b6d7ac389ca8000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:20"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000000">20:48:04.01:20</span></a><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000001">.  Tracheostomy care and suctioning -- Requirements for the delegation to a nursing assistant.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">A registered nurse may delegate tracheostomy care and suctioning tasks to a nursing assistant, for a specific client, pursuant to §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:21"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">20:48:04.01:21</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:22"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">20:48:04.01:22</span></a><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">, in a stable nursing situation, if</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">:</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8000003"> </span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">(1)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">The client resides in a shared living home, as defined in §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=46:04:01:01"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">46:04:01:01</span></a><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">;</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    (2)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">A registered nurse has determined that the performance of tracheostomy care and suctioning by a nursing assistant will allow the client to remain in the shared living home</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">;</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    (3)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">A licensee is not available to perform the tracheostomy care and suctioning for the client</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">;</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    (4)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">The client's plan of care includes performing tracheostomy care or suctioning on a routine, scheduled basis</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">;</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    (5)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">The client's tracheostomy care or suctioning has been routinely performed without complications</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">;</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    (6)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">The registered nurse assessed the client's tracheostomy stoma and determined that the stoma is stable with no known or anticipated complications</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">;</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    (7)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">The delegation complies with the general criteria for delegation and supervision set forth in §§</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">, respectively; and</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    (8)  </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">The nursing assistant has met the training requirements set forth in §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:22"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">20:48:04.01:22</span></a><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">.</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8000003"> </span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">The registered nurse must assess the client's condition monthly and must perform an annual comprehensive nursing assessment</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">.</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8000003"> </span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">52 SDR 24, effective September 8, 2025</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">.</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">.</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">    </span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">(3)(5)(6)(7)(8)(11), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">(4)(5)</span><span style="white-space: pre-wrap;" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8C0">.</span></p><p dir="ltr" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se7b07bc2-bea5-4220-ac85-b6d7ac389ca8000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0 { 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.se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se1e0d9ce-2bcb-4d33-bef6-37a8156e3732000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000003 { 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="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:21"><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000000">20:48:04.01:21</span></a><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000001">.  Tracheostomy care and suctioning -- Tasks that may be delegated -- Written protocol required.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0"> </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">A registered nurse may only delegate the following tracheostomy care and suctioning tasks to a nursing assistant</span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">:</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732000002"> </span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">(1)  </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">Inspecting, cleaning, and changing the dressing for an established tracheostomy site</span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">;</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    (2)  </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">Changing or cleaning the inner cannula; and</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    (3)  </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">Suctioning the tracheostomy</span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">.</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732000002"> </span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">The registered nurse must develop and maintain a written protocol for a specific client on the procedures and tasks for tracheostomy care and suctioning that may be delegated to the nursing assistant</span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">.</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732000002"> </span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0"> </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">52 SDR 24, effective September 8, 2025</span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">.</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">.</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">    </span><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">(7)(8)(11)(13), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732C0">(4)(5).</span></p><p dir="ltr" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se1e0d9ce-2bcb-4d33-bef6-37a8156e3732000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s7a298bba-4d83-47bc-a26a-5a568a437537P0 { 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.s7a298bba-4d83-47bc-a26a-5a568a437537C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7a298bba-4d83-47bc-a26a-5a568a437537C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7a298bba-4d83-47bc-a26a-5a568a437537C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7a298bba-4d83-47bc-a26a-5a568a437537C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7a298bba-4d83-47bc-a26a-5a568a437537000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:22"><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000000">20:48:04.01:22</span></a><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000001">.  Tracheostomy care and suctioning -- Training.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0"> </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">A registered nurse must meet the following requirements before delegating the tracheostomy care and suctioning protocol, as provided in §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:21"><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000002">20:48:04.01:21</span></a><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">:</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537000003"> </span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">(1)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Provide instruction to the nursing assistant on</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">:</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537000003"> </span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (a)  Airway anatomy;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (b)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">The purpose and function of a tracheostomy</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (c)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">The type of tracheostomy tube used by the client</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (d)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Inspecting the stoma site</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (e)  Infection control procedures;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (f)  Cleaning the stoma site;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (g)  Changing the dressing;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (h)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Changing or cleaning the inner cannula</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (i)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Suctioning the client's tracheostomy</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (j)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Signs and symptoms of tracheostomy-related complications</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (k)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Emergency care; and</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">        (l)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">When the registered nurse should be contacted</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537000003"> </span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    (2)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Verify, through the administration of a test or observation, that the nursing assistant knows the content listed in subdivision (1) of this section</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    (3)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Directly observe the nursing assistant perform the procedures and tasks on the client until the nursing assistant demonstrates competency</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    (4)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Document the training provided to the nursing assistant</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">;</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    (5)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">If the client's tracheostomy medical orders change, evaluate the client to determine if the nursing assistant requires further instruction and observation; and</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    (6)  </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">Evaluate the competency of the nursing assistant annually to determine if further instruction and observation is needed</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">.</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537000003"> </span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0"> </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">52 SDR 24, effective September 8, 2025</span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">.</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">.</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">    </span><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">(7)(8)(11)(13), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s7a298bba-4d83-47bc-a26a-5a568a437537C0">(4)(5).</span></p><p dir="ltr" class="s7a298bba-4d83-47bc-a26a-5a568a437537P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7a298bba-4d83-47bc-a26a-5a568a437537000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0 { 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.s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3e8b19ec-48f7-45a6-a669-b1135e5accee000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:23"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000000">20:48:04.01:23</span></a><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000001">.  Delegation of tasks to a certified nurse aide.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0"> </span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">A licensed practical nurse, registered nurse, or advanced practice registered nurse may delegate nursing tasks, in accordance with §§</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">, to an individual in a nursing facility, if the individual:</span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5accee000003"> </span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">(1)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">Is registered with the board as a certified nurse aide in accordance with chapter </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:16"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">20:48:16</span></a><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">; or</span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">    (2)  </span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">Has worked less than four months in the nursing facility and is enrolled as a student in a board-approved nurse aide training program or has completed the program and is awaiting registration by the board as a certified nurse aide</span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">.</span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5accee000003"> </span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">    </span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0"> </span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">52 SDR 24, effective September 8, 2025</span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">.</span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">    </span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">.</span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">    </span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">(7), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">(9), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">(4)(5), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9A-12"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">36-9A-12</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">(7), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9A-13"><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0-000002">36-9A-13</span></a><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">(7)</span><span style="white-space: pre-wrap;" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeC0">.</span></p><p dir="ltr" class="s3e8b19ec-48f7-45a6-a669-b1135e5acceeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3e8b19ec-48f7-45a6-a669-b1135e5accee000003"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s231fcb76-b746-42de-98a2-4887a8c9a97aP0 { 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.s231fcb76-b746-42de-98a2-4887a8c9a97aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s231fcb76-b746-42de-98a2-4887a8c9a97a000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003 { 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="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:24"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000000">20:48:04.01:24</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000001">.  </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000001">Gastrostomy tube insertion and removal -- Requirements for the delegation to a nursing assistant</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000001">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0"> </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">A registered nurse may delegate the insertion and removal of a gastrostomy tube to a nursing assistant, for a specific client, if</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">:</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97a000002"> </span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">(1)  </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">The client resides in a shared living home, as defined in §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=46:04:01:01"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003">46:04:01:01</span></a><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">;</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    (2)  </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">The client's plan of care includes insertion and removal of a gastrostomy tube on a routine, scheduled basis</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">;</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    (3)  </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">The insertion and removal of a gastrostomy tube has been routinely performed on the client without complications</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">;</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    (4)  </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">The registered nurse</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">:</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">        (a)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">Performs a monthly comprehensive nursing assessment of the client, as defined in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-1"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003">36-9-1</span></a><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">; and</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">        (b)  </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">Determines if the stoma is stable with no known or anticipated complications and the insertion and removal of a gastrostomy tube by a nursing assistant allows the client to remain in the shared living home; and</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    (5)  </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">The delegation to the nursing assistant complies with the general criteria for delegation and supervision set forth in §§</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">, respectively</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">.</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97a000002"> </span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0"> </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">53 SDR 8, effective August 3, 2026</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">.</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">.</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">    </span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">(3)(7)(8)(11)(13), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">(4)(5)</span><span style="white-space: pre-wrap;" class="s231fcb76-b746-42de-98a2-4887a8c9a97aC0">.</span></p><p dir="ltr" class="s231fcb76-b746-42de-98a2-4887a8c9a97aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s231fcb76-b746-42de-98a2-4887a8c9a97a000002"> </span></p></div></body></html>