<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.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 xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:07"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000000">20:48:04.01:07</span></a><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">.  Nursing tasks that may not be delegated.</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">A</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> licensed nurse may not delegate to </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">a nursing assistant</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">:</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (1)  Assessments </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">that</span><span 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 xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (2)  Formulation of the plan o</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">f</span><span 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 xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (3)  </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">T</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">asks involved in the implementation of the plan of care </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">that</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> require nursing judgment or intervention, </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">including:</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (a)  S</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">terile procedures involving a wound or anatomical site </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">that</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> could become infected</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, except urinary catheterization</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (b)  N</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">asogastric tube feeding;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (c)  N</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">asogastric, jejunostomy</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">,</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> and gastrostomy tube insertion or removal;</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> and</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">            (d)  T</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">racheostomy care and suctioning</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, except as permitted by </span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">§§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:20"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20</span></a><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">to</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:22"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">22</span></a><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, inclusive</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span 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 class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">09</span></a><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">to</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:11</span></a><span 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 class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">20:48:04.01:18</span></a><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">;</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    (5)  </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">Acceptance of medical</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> orders; and</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span 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 xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">Source:</span><span 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 class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">; 49 SDR 51, effective November 27, 2022; 52 SDR 24, effective September 8, 2025</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">.</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">General Authority:</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-2"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">13-33A-2</span></a><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-21</span></a><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">.</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">    </span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000001">Law Implemented:</span><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=13-33A-1"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">13-33A-1</span></a><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-3</span></a><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-4</span></a><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4.1"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-4.1</span></a><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0-000003">36-9-21</span></a><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">(4)</span><span class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eC0">.</span></p><p dir="ltr" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282eP0"><span xml:space="preserve" class="s5e1930ca-71a9-4a06-b39b-d0a3e925282e000002"> </span></p></div></body></html>