<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.s41a4274d-e1b8-4117-a76b-6ab6f0349022P0 { 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.s41a4274d-e1b8-4117-a76b-6ab6f0349022C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s41a4274d-e1b8-4117-a76b-6ab6f0349022000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } 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margin-top: 0; margin-bottom: 0; margin-left: 1.30in; margin-right: 0; text-indent: -1.30in; 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="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000000">20:48:04</span></a></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022000001"> </span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0">THE PRACTICE OF NURSING</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022000001"> </span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022000001"> </span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000002"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">Section</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        </span><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">S</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">tandards of nursing practice -- </span><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">Registered nurse and licensed practical nurse</span><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.01"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:01.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Scope of nursing practice -- Registered nurse.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.02"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:01.02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Scope of nursing practice -- Licensed practical nurse.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.03"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:01.03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Supervision of a licensed practical nurse.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:02"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Repealed.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:02.01"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:02.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Repealed.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:02.02"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:02.02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Repealed.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:02.03"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:02.03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Authorization to perform kidney dialysis functions.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:02.04"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:02.04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Training program required for a licensed practical nurse to perform kidney dialysis functions</span><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">, Repealed</span><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:03"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Repealed.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:04"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Repealed.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:05"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Repealed.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:06"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Intravenous therapy </span><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">tasks that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003"> may be performed by licensed practical nurses.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:06.01"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:06.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">    Administration of blood components by a licensed practical nurse.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:07"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        </span><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">Tasks that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003"> may not be performed by licensed practical nurses.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:08"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:08</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Scope and standards of nurse anesthetist practice -- Prescriptive authority.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:09"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Scope and standards of nurse anesthetist practice -- Controlled substance prescribing.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:10"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:10</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Scope and standards of nurse anesthetist practice -- Use and supervision of radiography.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:11"><span style="white-space: pre-wrap;" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000004">20:48:04:11</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022C0-000003">        Scope and standards of nurse anesthetist practice -- Procedures for pain management.</span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022000001"> </span></p><p dir="ltr" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s41a4274d-e1b8-4117-a76b-6ab6f0349022000001"> </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.sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0 { 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.sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000003 { 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="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01"><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000000">20:48:04:01</span></a><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000001">.  Standards of nursing practice -- Registered nurse and licensed practical nurse.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">The standards of practice for a registered nurse and a licensed practical nurse are to</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">:</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002"> </span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (1)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Practice within the legal boundaries for nursing practice authorized in SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9"><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000003">36-9</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> and this article</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (2)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Accept personal responsibility and be accountable for actions, competence, decisions, and behavior in the course of nursing practice. A nurse does not avoid this responsibility by accepting the orders or directions of another person</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (3)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Perform only those activities, tasks, or responsibilities that another reasonable and prudent nurse with similar educational preparation and demonstrated clinical competence would perform and that one has determined can be accomplished safely</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (4)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Perform activities, tasks, or responsibilities only after considering the complexity and frequency of nursing care needed by the client population served</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (5)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Perform activities, tasks, or responsibilities only after considering if a practice setting allows a nurse to perform the activities, tasks, or responsibilities in the practice setting, provides a sufficient number of qualified personnel within the practice setting, and provides adequate channels of communication that lend support to the types of nursing services offered in the practice setting</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (6)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Maintain competence through ongoing learning and application of knowledge in current nursing practice</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (7)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Obtain instruction and supervision when needed in implementing new or unfamiliar nursing techniques or practices</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (8)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Document nursing care provided, changes in a client s condition, or relevant information, in an accurate and timely manner</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (9)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Maintain professional boundaries and therapeutic relationships with clients</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (10)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Collaborate and consult with, or refer clients to, other health care providers to resolve situations beyond one s expertise</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (11)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Practice without discrimination on the basis of age, race, religion, gender, national origin, sexual orientation, patient diagnosis, or disability</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (12)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Advocate for the respect, dignity, rights, and property of clients</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">;</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (13)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Take preventive measures to promote an environment that is conducive to health and safety; and</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    (14)  </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">Report illegal, substandard, unethical, unsafe, or incompetent nursing practice</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002"> </span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> SL 1975, ch 16, § 1; 3 SDR 35, effective November 11, 1976; 12 SDR 109, effective January 9, 1986; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 22 SDR 23, effective August 29, 1995; 26 SDR 174, effective July 4, 2000; 33 SDR 43, effective September 12, 2006; 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">; 50 SDR 69, effective December 10, 2023</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">(2)</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-1.1"><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000003">36-9-1.1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">(4)(5)(8)(9)(10)(11), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">(3)(4)(5)(6)(7)</span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002"> </span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0-000001">Declaratory Rulings:</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    Instructing </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">a </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">patient on routine measures for taking care of </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> condition does not constitute the practice of medicine and is not grounds for disciplinary action even if the information and recommendations provided are in excess of, or different from, the information and recommendations given by the patient's physician, so long as the nurse did not, on </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">the nurse's</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> own, treat the symptoms or disease. South Dakota Board of Nursing Declaratory Ruling No. 80-1.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002"> </span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    A nurse must exercise professional judgment when </span><span style="white-space: pre-wrap;" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">accepting</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0"> orders through a third party, who may or may not be unlicensed, via telephone or otherwise. If an order is transmitted through a third party, all persons, including the third party, must be identified by name and title before the order may be implemented. South Dakota Board of Nursing Declaratory Ruling 87-1.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002"> </span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    Although registered nurses may administer narcotics, analgesics, sedatives, and tranquilizing medications to patients, registered nurses may not administer any medication for the purpose of inducing general anesthesia. It is not within the authority of the board to determine how or for what purpose a specific drug with multiple uses is being administered at any given time. Institutional or agency protocol must address this. South Dakota Board of Nursing Declaratory Ruling 89-1.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002"> </span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bC0">    Homemakers employed by the Department of Social Services or its contractors may provide assistance with the self-administration of medications to clients who are mentally capable of self-directing their care and who reside in their own home or reside in adult foster care or an assisted living center if the homemakers are trained as homemakers, are placed by an agency, and are under the supervision of a professional social worker or nurse as appropriate and if the assistance is limited to reminding the client to take a medication at a prescribed time, opening and closing a medication container, and returning a medication container to the proper storage area. Services provided under the conditions described are not dependent upon licensure in nursing. South Dakota Board of Nursing Declaratory Ruling 92-1.</span></p><p dir="ltr" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0bP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sf6f5d18d-b516-4d44-ab25-219a23ea0e0b000002"> </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.s35b69c08-5c59-4174-b725-63e0f3d96ed4P0 { 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.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s35b69c08-5c59-4174-b725-63e0f3d96ed4000003 { 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="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.01"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000000">20:48:04:01.01</span></a><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">.  Scope of nursing practice -- Registered nurse.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">A registered nurse in accordance with §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">20:48:04:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> shall use the nursing process in the execution of nursing responsibilities, activities, or tasks authorized in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> and this article for the promotion or maintenance of client health and the prevention of illness or injury. A registered nurse may</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">:</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(1)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Conduct ongoing assessments to anticipate and recognize changes or potential changes in client status, including assimilation of data gathered from a licensed practical nurse and other members of the health care team</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (2)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Identify client problems and use clinical judgment in accordance with §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">20:48:04:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> to make independent nursing decisions or a nursing diagnosis</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(3)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Develop a nursing plan of care that may include interventions for health maintenance, patient teaching, counseling, prevention of illness, rehabilitation, or discharge planning</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (4)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Administer independent nursing interventions</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (5)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Administer medications and treatments prescribed or ordered by a legally authorized prescriber, including</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">:</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">        (a)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Determining which medication to administer when a prescriber orders more than one medication for the same therapeutic indication; and</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">        (b)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Determining the dose to administer when a prescriber orders an as-needed medication with a range of doses;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (6)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Execute a delegated medical treatment, therapy, or regimen according to an approved medical protocol, standardized procedure, or standing order, including the performance of conservative sharp wound debridement to remove necrotic tissue above the level of viable tissue if the removal is not expected to cause significant blood loss and if the registered nurse holds current wound care certification from a national certification body approved by the board</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (7)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Determine and place durable medical equipment or therapeutic devices when providing preventive, restorative, and supportive care, to implement the overall plan of care</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (8)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Evaluate client response to nursing interventions and modify the nursing plan of care consistent with intended outcomes</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (9)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Monitor changes in a client s health status and take appropriate action, including preventive measures to protect the client, self, and others</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (10)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Assess client learning needs, develop a teaching plan to meet the client s needs, implement the plan, and evaluate the outcome</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">;</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (11)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Delegate only tasks or activities that one can perform safely and in accordance with § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">; and</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    (12)  </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">Supervise licensed and unlicensed providers in accordance with this article</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">.</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">50 SDR 69, effective December 10, 2023.</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(3).</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">    </span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-1.1"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-1.1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">(1)(2)(3)(4)(5)(6)(7)(11)</span><span style="white-space: pre-wrap;" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4C0">.</span></p><p dir="ltr" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s35b69c08-5c59-4174-b725-63e0f3d96ed4000003"> </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.sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0 { 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.sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd4af9376-fc19-41e3-b87b-8ff18e5e2dca000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000004 { 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="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.02"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000000">20:48:04:01.02</span></a><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000001">.  Scope of nursing practice -- Licensed practical nurse.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">A licensed practical nurse, in accordance with §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">20:48:04:01</span></a><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">, may</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">:</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dca000003"> </span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">(1)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Assist in the identification and administration of nursing interventions, including</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">:</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dca000003"> </span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">        (a)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Determining which medication to administer when an authorized prescriber orders more than one medication for the same therapeutic indication;</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">        (b)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Determining the dose to administer when an authorized prescriber orders an as-needed medication with a range of doses</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">; and</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">        (c)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Administering intravenous therapy, authorized in §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:06"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">20:48:04:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> or as delegated by a registered nurse pursuant to §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:06"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">20:48:04:06</span></a><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">.01, that is prescribed by a legally authorized prescriber</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">;</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dca000003"> </span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">(2)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Assist in the administration of a delegated medical treatment or regimen according to an approved medical protocol, standardized procedure, or standing order</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">;</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    (3)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Contribute to the evaluation of client care and the adjustment of the plan of care by monitoring client outcomes, collecting data, and communicating findings in a timely manner</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">;</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    (4)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Assist with the identification of client learning needs, teaching, and counseling in accordance with the plan of care</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">;</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    (5)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">Delegate only tasks or activities that one can perform safely and in accordance with </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">; and</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    (6)  </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">S</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000004">upervise a nursing assistant in</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> accordance with §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">.</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dca000003"> </span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">50 SDR 69, effective December 10, 2023</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">.</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">(3).</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">    </span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-1.1"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">36-9-1.1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">(2)(3)(4)(8)(9)(10), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">.1(2)</span><span style="white-space: pre-wrap;" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaC0">.</span></p><p dir="ltr" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dcaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd4af9376-fc19-41e3-b87b-8ff18e5e2dca000003"> </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.sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0 { 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.sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc9bec084-cfb0-42ae-b7f8-c47584c255e6000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000003 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000004 { 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="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.03"><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000000">20:48:04:01.03</span></a><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000001">.  Supervision of a licensed practical nurse.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0"> </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">A registered nurse or advanced practice registered nurse who supervises the practice of a licensed practical nurse shall determine if direct or minimal supervision is required after considering</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">:</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6000002"> </span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">(1)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">The educational preparation of the licensed practical nurse, including the basic educational program and the knowledge and skills subsequently acquired by the nurse through continuing education and practice</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">;</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">(2)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">The depth of knowledge needed to perform the task and the potential threat to the client's well-being. If the provider determines a task is complex, direct supervision must be provided</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">;</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    (3)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">The stability of the nursing situation</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">:</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6000002"> </span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">        (a)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">In a stable nursing situation, the licensed practical nurse may practice with minimal supervision. T</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000003">he supervisor is physically on the premises where the client is being cared for or readily available by electronic communication</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000003">;</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000003">        (b)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">In a complex nursing situation, the licensed practical nurse must practice under direct supervision</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">;</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6000002"> </span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    (4)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">The qualifications and number of personnel in the facility where the licensed practical nurse practices and the proximity of the clients to personnel</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">;</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    (5)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">Accessible resources in the facility; and</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    (6)  </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">Established policies, procedures, practices, and channels of communication that lend support to the types of nursing services offered</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">.</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6000002"> </span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0"> </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">50 SDR 69, effective December 10, 2023</span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">.</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000004">36-9-21</span></a><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">(2).</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">    </span><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000004">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">(11), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0-000004">36-9-4</span></a><span style="white-space: pre-wrap;" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6C0">.</span></p><p dir="ltr" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9bec084-cfb0-42ae-b7f8-c47584c255e6000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 20:48:04:02 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:02"> <META NAME="Description" Content="Administrative Rules 20:48:04:02 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>20:48:04:02.&nbsp;&nbsp;Additional functions which may be performed by licensed practical nurses.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> SL 1975, ch 16, §&nbsp;1;&nbsp; 3 SDR 35, effective November 11, 1976; 6 SDR 88, effective March 3, 1980; 12 SDR 109, effective January 9, 1986; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 20 SDR 159, effective April 5, 1994; 22 SDR 23, effective August 29, 1995; repealed, 26 SDR 174, effective July 4, 2000.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:02.01 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:02.01"> <META NAME="Description" Content="Administrative Rules 20:48:04:02.01 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; text-align:justify; font-size:12.0pt; font-family:"Times New Roman","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04</b><b>:02.01.&nbsp;&nbsp;Outline of course for preparation of licensed practical nurses for kidney dialysis functions.</b> Repealed.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 13 SDR 49, effective October 27, 1986; 26 SDR 174, effective July 4, 2000; repealed, 41 SDR 12, effective July 31, 2014.</p> <p class=MsoNormal>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:02.02 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:02.02"> <META NAME="Description" Content="Administrative Rules 20:48:04:02.02 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; text-align:justify; font-size:12.0pt; font-family:"Times New Roman","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04</b><b>:02.02.&nbsp;&nbsp;Criteria for approval of course for preparation of licensed practical nurses for kidney dialysis functions.</b> Repealed.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 13 SDR 49, effective October 27, 1986; 20 SDR 159, effective April 5, 1994; 22 SDR 23, effective August 29, 1995; 26 SDR 174, effective July 4, 2000; repealed, 41 SDR 12, effective July 31, 2014.</p> <p class=MsoNormal>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:02.03 Authorization to perform kidney dialysis functions.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:02.03"> <META NAME="Description" Content="Administrative Rules 20:48:04:02.03 Authorization to perform kidney dialysis functions."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; text-align:justify; font-size:12.0pt; font-family:"Times New Roman","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:48:04</b><b>:02.03.&nbsp;&nbsp;Authorization to perform kidney dialysis functions.</b> A licensed practical nurse may perform kidney dialysis functions if the licensed practical nurse has completed a course on kidney dialysis that includes the following content:</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Anatomy and physiology;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;Assessment;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Problem identification;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;Goals of care;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (5)&nbsp;&nbsp;Purposes and procedures;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (6)&nbsp;&nbsp;Complications;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (7)&nbsp;&nbsp;Evaluation and documentation.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The course must be taught by a licensed registered nurse with a minimum of two years kidney dialysis experience. Evaluation procedures for the course must include a final written examination and a demonstration of clinical skills. Supervised clinical practice and verification of clinical competence by a licensed registered nurse must follow the course content.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 13 SDR 49, effective October 27, 1986; 26 SDR 174, effective July 4, 2000; 41 SDR 12, effective July 31, 2014.</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-4.1">36-9-4.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-21">36-9-21.</A></p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-4.1">36-9-4.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-21">36-9-21.</A></p> <p class=MsoNormal>&nbsp;</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.sfaa99902-a865-46a5-841f-128706bc5daeP0 { 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.sfaa99902-a865-46a5-841f-128706bc5daeC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfaa99902-a865-46a5-841f-128706bc5daeC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfaa99902-a865-46a5-841f-128706bc5daeC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfaa99902-a865-46a5-841f-128706bc5dae000002 { 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="sfaa99902-a865-46a5-841f-128706bc5daeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfaa99902-a865-46a5-841f-128706bc5daeC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:02.04"><span style="white-space: pre-wrap;" class="sfaa99902-a865-46a5-841f-128706bc5daeC0-000000">20:48:04:02.04</span></a><span style="white-space: pre-wrap;" class="sfaa99902-a865-46a5-841f-128706bc5daeC0-000001">.  Training program required for a licensed practical nurse to perform kidney dialysis functions.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfaa99902-a865-46a5-841f-128706bc5daeC0"> </span><span style="white-space: pre-wrap;" class="sfaa99902-a865-46a5-841f-128706bc5daeC0">Repealed</span><span style="white-space: pre-wrap;" class="sfaa99902-a865-46a5-841f-128706bc5daeC0">.</span></p><p dir="ltr" class="sfaa99902-a865-46a5-841f-128706bc5daeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfaa99902-a865-46a5-841f-128706bc5dae000002"> </span></p><p dir="ltr" class="sfaa99902-a865-46a5-841f-128706bc5daeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfaa99902-a865-46a5-841f-128706bc5daeC0">    </span><span style="white-space: pre-wrap;" class="sfaa99902-a865-46a5-841f-128706bc5daeC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfaa99902-a865-46a5-841f-128706bc5daeC0"> 26 SDR 174, effective July 4, 2000</span><span style="white-space: pre-wrap;" class="sfaa99902-a865-46a5-841f-128706bc5daeC0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="sfaa99902-a865-46a5-841f-128706bc5daeC0">.</span></p><p dir="ltr" class="sfaa99902-a865-46a5-841f-128706bc5daeP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfaa99902-a865-46a5-841f-128706bc5dae000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 20:48:04:03 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:03"> <META NAME="Description" Content="Administrative Rules 20:48:04:03 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>20:48:04:03.&nbsp;&nbsp;Recommendations of South Dakota joint practice commission.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 3 SDR 35, effective November 11, 1976; repealed, 6 SDR 88, effective March 3, 1980.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:04 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:04"> <META NAME="Description" Content="Administrative Rules 20:48:04:04 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>20:48:04:04.&nbsp;&nbsp;Settings permitted for performance of overlapping functions.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 3 SDR 35, effective November 11, 1976; repealed, 6 SDR 88, effective March 3, 1980.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:05 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:05"> <META NAME="Description" Content="Administrative Rules 20:48:04:05 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>20:48:04:05.&nbsp;&nbsp;Intravenous therapy functions which may not be performed by licensed practical nurses.</b>Repealed.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 20 SDR 159, effective April 5, 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.s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0 { 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.s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8379e74e-50e9-4375-a25d-dd575f6aa3f4000003 { 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="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:06"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000000">20:48:04:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000001">.  Intravenous therapy </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000001">tasks that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000001"> may be performed by licensed practical nurses.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0"> A licensed practical nurse who has completed a program of study that included supervised clinical practice acquired through a pre-licensure nursing education program or a continuing education program and who has demonstrated clinical competence may perform the following intravenous therapy</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0"> </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">tasks for clients who are twelve years of age or older, as ordered by a legally authorized medical prescriber, and as supervised in accordance with §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.03"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002">20:48:04:01.03</span></a><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">:</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4000003"> </span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (1)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Insert peripheral venous access devices, using a needle or a catheter not to exceed three inches in length</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (2)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Administer local anesthetics by the intradermal, subcutaneous, or topical routes for the purpose of pain control when inserting a peripheral catheter</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (3)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Obtain blood samples through a peripheral or a central line</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (4)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Assemble and maintain peripheral line and central line infusion equipment</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (5)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Administer intravenous fluids, with or without added medication, that have been prepared and labeled by a pharmacist, registered nurse, physician, dentist, or manufacturer, via a peripheral or a central line, excluding the medications listed in §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:07"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002">20:48:04:07</span></a><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (6)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Calculate and adjust infusion rates using standard formulas for peripheral and central lines</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (7)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Reconstitute medications by activation of a manufacturer s prepared bag and vial system</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (8)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Administer peripheral intravenous push medications, if</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">:</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4000003"> </span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">        (a)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Direct supervision is provided by a registered nurse, advanced practice registered nurse, physician, or other board-approved licensed health care provider</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">        (b)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">The medication is not listed in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:07"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002">20:48:04:07</span></a><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">; and</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">        (c)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Administration occurs in a health care facility licensed pursuant to SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002">34-12</span></a><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4000003"> </span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (9)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Flush peripheral or central catheter lines with heparin or saline solutions</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (10)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Administer total parenteral nutrition and fat emulsion solutions via a central line</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (11)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Assemble and maintain patient-controlled analgesia infusion equipment, program the pump pursuant to an authorized provider s order that prescribes a specific dosage, and assist a client with self-bolus when needed</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (12)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Monitor the administration of blood products and plasma volume expanders after a registered nurse or physician has administered the blood product and monitored the client for the initial fifteen minutes of the infusion</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (13)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Discontinue intravenous therapy infusion, blood products, and plasma volume expanders</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (14)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Perform routine peripheral and central line intravenous site dressing changes</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">;</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (15)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Remove peripheral intravenous therapy catheters that do not exceed three inches in length; and</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    (16)  </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">Remove implanted venous access device needles</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">.</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4000003"> </span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0"> 26 SDR 174, effective July 4, 2000</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">; 50 SDR 69, effective December 10, 2023</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">.</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">(3)</span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">.</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">    </span><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">(3)(4)(10), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4C0">.1(1).</span></p><p dir="ltr" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8379e74e-50e9-4375-a25d-dd575f6aa3f4000003"> </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.sb3b007ff-727c-427c-91f6-07e7762315c1P0 { 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.sb3b007ff-727c-427c-91f6-07e7762315c1C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb3b007ff-727c-427c-91f6-07e7762315c1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb3b007ff-727c-427c-91f6-07e7762315c1C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb3b007ff-727c-427c-91f6-07e7762315c1000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb3b007ff-727c-427c-91f6-07e7762315c1C0-000003 { 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="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:06.01"><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000000">20:48:04:06.01</span></a><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000001">.  Administration of blood components by a licensed practical nurse.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0"> </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">A registered nurse may assign the administration of blood products to a licensed practical nurse if</span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">:</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1000002"> </span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">(1)  </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">The licensed practical nurse has completed a program of study on the transfusion of blood products that included supervised clinical practice acquired through a pre-licensure nursing education program or a continuing education program</span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">;</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    (2)  </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">The licensed practical nurse demonstrates clinical competence in the administration of the specific type of blood product to be administered</span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">;</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    (3)  </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">The client to be administered the blood product is twelve years of age or older</span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">;</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    (4)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">The blood product will be administered to a client in a hospital licensed pursuant to SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12"><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000003">34-12</span></a><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">; and</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    (5)  </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">The licensed practical nurse is directly supervised during the administration of the blood product, according to §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:01.03"><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000003">20:48:04:01.03</span></a><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">.</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1000002"> </span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0"> </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">50 SDR 69, effective December 10, 2023</span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">.</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">(3).</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">    </span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">(7), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4.1"><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0-000003">36-9-4.1</span></a><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">(1)</span><span style="white-space: pre-wrap;" class="sb3b007ff-727c-427c-91f6-07e7762315c1C0">.</span></p><p dir="ltr" class="sb3b007ff-727c-427c-91f6-07e7762315c1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb3b007ff-727c-427c-91f6-07e7762315c1000002"> </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.seb47963b-1ac5-4f03-afc4-6b44d4149911P0 { 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.seb47963b-1ac5-4f03-afc4-6b44d4149911C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.seb47963b-1ac5-4f03-afc4-6b44d4149911000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000003 { 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="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04:07"><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000000">20:48:04:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000001">.  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000001">Tasks that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000001"> may not be performed by licensed practical nurses.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0"> A licensed practical nurse may not:</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911000002"> </span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    (1)  Administer the following intravenous therapy fluids, medications, agents, or drug classifications</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">:</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911000002"> </span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (a)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Antiarrhythmics</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (b)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Antineoplastic chemotherapy</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (c)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Biologics, including immunotherapy</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (d)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Fibrinolytics</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (e)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Immunoglobulins</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (f)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Investigative or experimental</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (g)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Oxytocics</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (h)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Paralytics</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (i)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Thrombolytics</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (j)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Tocolytics; or</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">        (k)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Vasoactives</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911000002"> </span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    (2)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Titrate medications that require continuous assessments to determine the dosage of medication or agent</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    (3)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Administer medications for the purpose of inducing moderate sedation, a drug-induced depression of consciousness during which a client is capable of responding to verbal commands</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    (4)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Administer medications for the purpose of inducing deep sedation, a drug-induced loss of consciousness where the client may not be easily aroused and interventions to maintain a patent airway may be needed</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    (5)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Administer medications for the purpose of inducing general anesthesia, a drug-induced loss of consciousness where the client is not arousable, and interventions are required to maintain a patent airway</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">;</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    (6)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Administer fluids, medication, or agents via an epidural, intrathecal, intraosseous, umbilical, or ventricular reservoir; or</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    (7)  </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">Insert or remove a midline intravenous catheter, peripherally inserted central line catheter, or other type of central line catheter</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">.</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911000002"> </span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0"> 26 SDR 174, effective July 4, 2000</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">; 50 SDR 69, effective December 10, 2023</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">.</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">(3)</span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">.</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">    </span><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-1.1"><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0-000003">36-9-1.1</span></a><span style="white-space: pre-wrap;" class="seb47963b-1ac5-4f03-afc4-6b44d4149911C0">.</span></p><p dir="ltr" class="seb47963b-1ac5-4f03-afc4-6b44d4149911P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="seb47963b-1ac5-4f03-afc4-6b44d4149911000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 20:48:04:08 Scope and standards of nurse anesthetist practice -- Prescriptive authority.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:08"> <META NAME="Description" Content="Administrative Rules 20:48:04:08 Scope and standards of nurse anesthetist practice -- Prescriptive authority."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:0in; line-height:115%; font-size:11.0pt; font-family:"Calibri",sans-serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-family:"Calibri",sans-serif;} .MsoPapDefault {margin-bottom:10.0pt; line-height:115%;} @page WordSection1 {size:8.5in 11.0in; margin:49.7pt 1.0in 49.7pt 63.35pt;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>20</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>48</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>04</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>08</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.&nbsp;&nbsp;Scope and standards of nurse anesthetist practice -- Prescriptive authority.</span></b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> A nurse anesthetist who holds an active, unencumbered license in this state is authorized to prescribe, procure, administer, and furnish pharmacological agents, including receiving and distributing drug samples to clients, within the role of a nurse anesthetist and in accordance with applicable state and federal laws.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prescribing includes the act of generating written or oral direction, reduced to writing, to or for an individual for the preparation of, use of, or manner of using a drug or therapeutic device, which is required by the United States Food and Drug Administration to meet the labeling requirements for prescription drugs and devices.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; A drug sample means a prepackaged unit of a prescription drug supplied by the manufacturer and provided at no charge to the client. A nurse anesthetist may provide labeled drug samples to patients for conditions being treated by the nurse anesthetist. Each drug sample must be accompanied by written administration instructions.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prescriptive authority may be modified, denied, suspended or terminated pursuant to SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-49">36-9-49</A> and in compliance with SDCL chapter 1-26 when a licensee has prescribed outside the role of a nurse anesthetist, prescribed for other than therapeutic purposes, or violated any state or federal law or regulation applicable to prescriptions or prescribing.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>47</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> SDR </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>74</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>, effective </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>December 21, 2020</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-3.1.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-3.1, 36-9-49(5)(7)(10)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:09 Scope and standards of nurse anesthetist practice -- Controlled substance prescribing.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:09"> <META NAME="Description" Content="Administrative Rules 20:48:04:09 Scope and standards of nurse anesthetist practice -- Controlled substance prescribing."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:0in; line-height:115%; font-size:11.0pt; font-family:"Calibri",sans-serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-family:"Calibri",sans-serif;} .MsoPapDefault {margin-bottom:10.0pt; line-height:115%;} @page WordSection1 {size:8.5in 11.0in; margin:49.7pt 1.0in 49.7pt 63.35pt;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>20</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>48</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>04</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>09</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.&nbsp;&nbsp;Scope and standards of nurse anesthetist practice -- Controlled substance prescribing.</span></b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> Prior to prescribing any controlled substances listed in SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B">34-20B</A>, a nurse anesthetist who meets state and federal controlled substance registration requirements, shall register with the state</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>'</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>s prescription drug monitoring program and meet the requirements of SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20E">34-20E.</A></span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The standards for documentation of patient care when prescribing controlled substance drugs for the treatment of chronic, non-cancer pain include:</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(1)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Documentation of results of medical examinations, diagnostic or laboratory tests;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(2)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Documentation of a patient</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>'</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>s medical and psychosocial history;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(3)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Documentation of advanced comprehensive nursing assessment;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(4)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Documentation that appropriate state prescription drug monitoring programs were accessed;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(5)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Documentation of a patient</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>'</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>s treatment agreement, if used;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(6)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;D</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>ocumentation of having provided instructions to the patient, or the patient</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>'</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>s representative, of the benefits and risks of controlled substances, the proper use and storage of drugs, and the proper disposal of unused drugs;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(7)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>If prescribing opioid drugs, documentation of instructions including the risk of addiction, overdose, and death, and the use of naloxone products to reverse an overdose;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(8)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Documentation of progress of pain management and functional improvement; and</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(9)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Documentation of collaboration with other health care providers.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Chronic pain means an ongoing, recurrent, or persistent pain that: (a) lasts beyond the usual course of an acute illness or injury; or (b) is at least three months in duration.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>47</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> SDR </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>74</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>, effective </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>December 21, 2020</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-3.1.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-49(5)(7)(10)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:10 Scope and standards of nurse anesthetist practice -- Use and supervision of radiography.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:10"> <META NAME="Description" Content="Administrative Rules 20:48:04:10 Scope and standards of nurse anesthetist practice -- Use and supervision of radiography."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:0in; line-height:115%; font-size:11.0pt; font-family:"Calibri",sans-serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-family:"Calibri",sans-serif;} .MsoPapDefault {margin-bottom:10.0pt; line-height:115%;} @page WordSection1 {size:8.5in 11.0in; margin:49.7pt 1.0in 49.7pt 63.35pt;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>20</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>48</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>04</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>10</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.&nbsp;&nbsp;Scope and standards of nurse anesthetist practice -- Use and supervision of radiography.</span></b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> A nurse anesthetist may order, interpret, and supervise radiographic procedures including fluoroscopy to initiate a patient-specific anesthesia or pain management plan of care. A nurse anesthetist shall utilize operators of radiation equipment in accordance with &#167;&#167;</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>44:03:01:14.01 through 44:03:01:14.03. All radiographic procedures must be performed in accordance with applicable federal and state laws and the requirements of article 44:03.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prior to the use of fluoroscopy, a nurse anesthetist shall complete education that includes content on radiation physics, radiobiology, radiological safety, and radiation management, applicable to the use of fluoroscopy. A nurse anesthetist who uses fluoroscopy in a health care setting that is licensed under SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12">34-12</A> and which meets the radiological requirements set forth in articles 44:75 and 44:76 shall meet the institution</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>'</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>s requirements prior to the use of fluoroscopy. A nurse anesthetist who uses fluoroscopy in a setting that is not licensed pursuant to SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12">34-12</A> shall complete an educational program approved by the board and shall provide documentation of completion to the board.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>47</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> SDR </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>74</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>, effective </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>December 21, 2020</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-3.1.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-3.1</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 20:48:04:11 Scope and standards of nurse anesthetist practice -- Procedures for pain management.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04:11"> <META NAME="Description" Content="Administrative Rules 20:48:04:11 Scope and standards of nurse anesthetist practice -- Procedures for pain management."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:0in; line-height:115%; font-size:11.0pt; font-family:"Calibri",sans-serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-family:"Calibri",sans-serif;} .MsoPapDefault {margin-bottom:10.0pt; line-height:115%;} @page WordSection1 {size:8.5in 11.0in; margin:49.7pt 1.0in 49.7pt 63.35pt;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>20</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>48</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>04</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>:</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>11</span></b><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.&nbsp;&nbsp;Scope and standards of nurse anesthetist practice -- Procedures for pain management.</span></b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> Pain management procedures may include the use of medications, regional anesthetic techniques, therapeutic injections, sympathetic blocks, and other pain relief modalities, performed or administered in compliance with accepted standards of practice.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prior to the performance of pain management procedures, a nurse anesthetist shall complete education that includes the physiology of pain, pain assessment, and treatment options, and requires a demonstration of competence to perform a procedure. A nurse anesthetist, who performs pain management procedures in a health care setting licensed under SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12">34-12</A>, shall meet the institution</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>'</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>s require</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>me</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>nts prior to performance of the procedures. A nurse anesthetist who performs pain management procedures in a setting that is not licensed pursuant to SDCL chapter 34-12, shall complete an educational program approved by the board and shall provide documentation of completion to the board.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>47</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> SDR </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>74</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>, effective </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>December 21, 2020</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-3.1.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>36-9-3.1</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</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.s7ebfe047-30cb-458b-aedf-03bf576435c5P0 { 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.s7ebfe047-30cb-458b-aedf-03bf576435c5C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: 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text-indent: -1.60in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } p.s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005 { margin-top: 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.s7ebfe047-30cb-458b-aedf-03bf576435c5P1-000006 { 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="s7ebfe047-30cb-458b-aedf-03bf576435c5P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000000">20:48:04.01</span></a></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5000001"> </span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0">DELEGATION OF NURSING TASKS</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5000001"> </span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5000001"> </span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">Section</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        General criteria for delegation.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Supervision.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:03"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Repealed.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:04"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Repealed.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:05"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Repealed.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:06"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Repealed.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:07"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Nursing tasks that may not be delegated.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:08"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:08</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Repealed.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        </span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">Requirements</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003"> for delegated medication administration</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003"> to a nursing assistant</span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09.01"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:09.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">    Delegation of medication administration tasks to a nursing assistant.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:10"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:10</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        </span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">Delegation of additional medication administration tasks to a medical assistant.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P1"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:11"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:11</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Medication administration tasks that require </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">a </span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">written protocol.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:12"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:12</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Medication administration tasks that may not be delegated.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:13"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:13</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Approval of training program required for delegated medication administration.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P1-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:14</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        </span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">Requirements</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003"> for approval of medication administration training programs.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P1-000006"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:14.01"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:14.01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">    Standards for medication administration training programs.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:15"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:15</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Medication administration curriculum.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:16"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:16</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Written protocol required for the delegation of insulin administration by the subcutaneous route to </span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">a nursing assistant</span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:17"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:17</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Qualifications of the registered nurse for delegation of insulin administration by the subcutaneous route to </span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">a nursing assistant</span><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:18"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:18</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Delegation of specific medication administration.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:19"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:19</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Training required for the delegation of specific medication administration.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:20"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:20</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Tracheostomy care and suctioning -- Requirements for delegation to a nursing assistant.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:21"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:21</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Tracheostomy care and suctioning -- Tasks that may be delegated -- Written protocol required.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:22"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:22</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Tracheostomy care and suctioning -- Training.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000005"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:23"><span style="white-space: pre-wrap;" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000004">20:48:04.01:23</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5C0-000003">        Delegation of tasks to a certified nurse aide.</span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5000001"> </span></p><p dir="ltr" class="s7ebfe047-30cb-458b-aedf-03bf576435c5P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ebfe047-30cb-458b-aedf-03bf576435c5000001"> </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; padding: 0; } span.sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sdb2da7e4-9039-41d3-86c8-4096efcf4db6000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000003 { color: black; background: white; font-family: Times; font-size: 10pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sdb2da7e4-9039-41d3-86c8-4096efcf4db6C0-000004 { 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="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.s7ca7038b-c201-451c-bf81-5615207b7c94P0 { 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.s7ca7038b-c201-451c-bf81-5615207b7c94C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7ca7038b-c201-451c-bf81-5615207b7c94C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7ca7038b-c201-451c-bf81-5615207b7c94000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002 { 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.s7ca7038b-c201-451c-bf81-5615207b7c94000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s7ca7038b-c201-451c-bf81-5615207b7c94P1 { 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="s7ca7038b-c201-451c-bf81-5615207b7c94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000000">20:48:04.02</span></a></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94000001"> </span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0">DELEGATION OF NURSING TASKS TO DIALYSIS TECHNICIANS</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94000003"> </span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94000003"> </span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">Section</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:01"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Definition of dialysis technician.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:02"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Definition of end stage renal disease</span><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">, Repealed</span><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:03"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Additional functions performed by licensed practical nurse in kidney dialysis.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:04"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    </span><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">D</span><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">ialysis technician</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004"> requirements</span><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:05"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    </span><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">Hemodialysis</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004"> tasks that may be delegated to dialysis technician.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P1"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:06"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:06</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Nursing tasks that may not be delegated to dialysis technician.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:07"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:07</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Approval of training program required for delegated nursing dialysis tasks.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:08"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:08</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Standards for approval of training programs for dialysis technicians.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:09"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Dialysis technician training curriculum.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:10"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:10</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Central line dialysis tasks that may be delegated -- Delegation requirements.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:11"><span style="white-space: pre-wrap;" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000005">20:48:04.02:11</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94C0-000004">    Central line dialysis technician training.</span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94000003"> </span></p><p dir="ltr" class="s7ca7038b-c201-451c-bf81-5615207b7c94P0-000002"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7ca7038b-c201-451c-bf81-5615207b7c94000003"> </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.s72f16630-6870-4299-9aef-258c1482c7b7P0 { 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.s72f16630-6870-4299-9aef-258c1482c7b7C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s72f16630-6870-4299-9aef-258c1482c7b7C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s72f16630-6870-4299-9aef-258c1482c7b7C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s72f16630-6870-4299-9aef-258c1482c7b7C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s72f16630-6870-4299-9aef-258c1482c7b7P0-000003 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s72f16630-6870-4299-9aef-258c1482c7b7000004 { 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="s72f16630-6870-4299-9aef-258c1482c7b7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:01"><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000000">20:48:04.02:01</span></a><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000001">.  Definition of dialysis technician.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0"> A dialysis technician is an individual who is not licensed as a nurse under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9"><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000002">36-9</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0"> but is trained to assist a nurse with the provision of </span><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">hemodialysis tasks,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0"> as delegated by the nurse and authorized by this chapter.</span></p><p dir="ltr" class="s72f16630-6870-4299-9aef-258c1482c7b7P0-000003"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7000004"> </span></p><p dir="ltr" class="s72f16630-6870-4299-9aef-258c1482c7b7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">    </span><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0"> 24 SDR 165, effective June 1, 1998</span><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">.</span></p><p dir="ltr" class="s72f16630-6870-4299-9aef-258c1482c7b7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">    </span><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">.</span></p><p dir="ltr" class="s72f16630-6870-4299-9aef-258c1482c7b7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">    </span><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s72f16630-6870-4299-9aef-258c1482c7b7C0">.</span></p><p dir="ltr" class="s72f16630-6870-4299-9aef-258c1482c7b7P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s72f16630-6870-4299-9aef-258c1482c7b7000004"> </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.s7af28763-9ce5-4f42-b559-d29eea7d19edP0 { 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.s7af28763-9ce5-4f42-b559-d29eea7d19edC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7af28763-9ce5-4f42-b559-d29eea7d19edC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7af28763-9ce5-4f42-b559-d29eea7d19edC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7af28763-9ce5-4f42-b559-d29eea7d19ed000002 { 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="s7af28763-9ce5-4f42-b559-d29eea7d19edP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:02"><span style="white-space: pre-wrap;" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0-000000">20:48:04.02:02</span></a><span style="white-space: pre-wrap;" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0-000001">.  Definition of end stage renal disease.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0"> </span><span style="white-space: pre-wrap;" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0">Repealed</span><span style="white-space: pre-wrap;" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0">.</span></p><p dir="ltr" class="s7af28763-9ce5-4f42-b559-d29eea7d19edP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7af28763-9ce5-4f42-b559-d29eea7d19ed000002"> </span></p><p dir="ltr" class="s7af28763-9ce5-4f42-b559-d29eea7d19edP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0">    </span><span style="white-space: pre-wrap;" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0"> 24 SDR 165, effective June 1, 1998</span><span style="white-space: pre-wrap;" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="s7af28763-9ce5-4f42-b559-d29eea7d19edC0">.</span></p><p dir="ltr" class="s7af28763-9ce5-4f42-b559-d29eea7d19edP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s7af28763-9ce5-4f42-b559-d29eea7d19ed000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 20:48:04.02:03 Additional functions performed by licensed practical nurse in kidney dialysis.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04.02:03"> <META NAME="Description" Content="Administrative Rules 20:48:04.02:03 Additional functions performed by licensed practical nurse in kidney dialysis."> <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>20:48:04.02:03.&nbsp;&nbsp;Additional functions performed by licensed practical nurse in kidney dialysis.</b> Nothing in this chapter may be construed to affect the practice of the licensed practical nurse performing additional specialized nursing functions in kidney dialysis pursuant to §&nbsp;20:48:04:02.03.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 24 SDR 165, effective June 1, 1998; 26 SDR 174, effective July 4, 2000.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-21">36-9-21.</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-3">36-9-3</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-4">36-9-4</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-4.1">36-9-4.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-21">36-9-21.</A></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.s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0 { 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.s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s07eac74c-18d6-44fe-b13b-f3b0d1439eb1000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000003 { 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="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:04"><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000000">20:48:04.02:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001">.  </span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001">D</span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001">ialysis technician</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001"> requirements</span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0"> A licensed nurse may delegate hemodialysis </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">tasks as </span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">authorized under this chapter to a dialysis technician who</span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">:</span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1000002"> </span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">    (1)  Has a minimum of a high school diploma or the equivalent;</span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">    (2)  Has completed a board-approved training program for dialysis technicians; and</span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">    (3)  Has passed a nationally recognized, board-approved dialysis technician certification examination and holds current certification, or completed a board-approved training program within the last eighteen months.</span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1000002"> </span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">    </span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0"> 24 SDR 165, effective June 1, 1998; 41 SDR 12, effective July 31, 2014</span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">.</span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">    </span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">.</span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">    </span><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1C0">.</span></p><p dir="ltr" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s07eac74c-18d6-44fe-b13b-f3b0d1439eb1000002"> </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.s6264eabe-491f-4988-9d47-485f6457acf1P0 { 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.s6264eabe-491f-4988-9d47-485f6457acf1C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s6264eabe-491f-4988-9d47-485f6457acf1P1 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: Times; font-size: 12pt; line-height: 108%; } </style></head><body><div><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:05"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000000">20:48:04.02:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">.  </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">Hemodialysis</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001"> tasks that may be delegated to dialysis technician.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> The following </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">hemodialysis</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> tasks may be delegated to a dialysis technician</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> in a stable nursing situation with direct supervision, as those terms are defined in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:01:01"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">20:48:01:01</span></a><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, and if</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> the delegation </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">complies</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> 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="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, respectively:</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (1)  Assemble any necessary supplies;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (2)  Rinse and prime dialyzer and attach and install all required tubing according to dialysis prescription and protocol. Test and set monitors and alarms according to protocol;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P1"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (3)  Obtain pre-dialysis vital signs, weight, and temperature and inform registered nurse of abnormal or unusual findings;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P1"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (4)  Inspect access site and report condition to registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (5)  Perform venipuncture to initiate dialysis including the administration of local anesthetics by the intradermal, subcutaneous, or topical routes;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (6)  Obtain blood samples and blood cultures from </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">extracorporeal circuit, fistula</span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, or graft;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (7)  Administer heparin </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">and normal saline in the course of a routine hemodialysis treatment according to prescribed protocol</span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (8)  Measure and adjust blood flow rates according to prescribed protocol;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (9)  Calculate, determine, and adjust fluid removal rates according to prescribed protocol;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (10)  Monitor and record dialysis treatment parameters and make treatment adjustments including dialysis equipment settings, client positioning, and the administration of normal saline, as directed by the registered nurse. Report all changes to the registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (11)  Monitor equipment for safe and proper functioning, respond to alarms, and make appropriate adjustments;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (12)  Initiate cardiopulmonary resuscitation measures in the event of a cardiac and/or pulmonary emergency. Respond to dialysis-related emergencies immediately seeking assistance from the registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (13)  Discontinue dialysis and establish hemostasis upon direction of the registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (14)  Inspect, clean, and dress access according to protocol, reporting any unusual finding or occurrence to the registered nurse; and</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (15)  </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">Prepare, test, and monitor water treatment and dialysate</span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> 24 SDR 165, effective June 1, 1998</span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-21</span></a><span style="white-space: pre-wrap;" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </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.s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0 { 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.s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003 { 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="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:06"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000000">20:48:04.02:06</span></a><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000001">.  Nursing tasks that may not be delegated to dialysis technician.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> The following nursing tasks may not be delegated to a dialysis technician:</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (1)  Initiation or </span><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">discontinuation</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> of dialysis via a central catheter</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> except as authorized in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:10"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">20:48:04.02:10</span></a><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">;</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (2)  Administration of medications, </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">except as authorized in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:05"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">20:48:04.02:05</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> or as</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> delegated in accordance with §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:09"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">20:48:04.01:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> to </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:13"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">20:48:04.01:13</span></a><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">, inclusive;</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (3)  Administration of blood or blood products;</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (4)  Acceptance of </span><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">medical</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> orders.</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (5)  Assessments that require professional nursing judgment, intervention, referral, or follow-up;</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (6)  Formulation of a plan of nursing care and evaluation of the client's response to the care rendered;</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (7)  Specific tasks involved in the implementation of a plan of nursing care that require nursing judgment or intervention; and</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    (8)  Health counseling or teaching.</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    </span><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> 24 SDR 165, effective June 1, 1998</span><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">.</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    </span><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">.</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">    </span><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0C0">.</span></p><p dir="ltr" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s75f452b4-ab96-43b8-87dc-e90e7021cfd0000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 20:48:04.02:07 Approval of training program required for delegated nursing dialysis tasks.</title> <META NAME="Keywords" Content="Administrative Rules 20:48:04.02:07"> <META NAME="Description" Content="Administrative Rules 20:48:04.02:07 Approval of training program required for delegated nursing dialysis tasks."> <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>20:48:04.02:07.&nbsp;&nbsp;Approval of training program required for delegated nursing dialysis tasks.</b> Selected tasks of hemodialysis therapy may be delegated only to a dialysis technician who has successfully completed a training program approved by the board pursuant to §&nbsp;20:48:04.02:08. Approval of the training program must be renewed every two years.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 24 SDR 165, effective June 1, 1998.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-21">36-9-21.</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-3">36-9-3</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-4">36-9-4</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-4.1">36-9-4.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-21">36-9-21.</A></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.s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0 { 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.s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000003 { 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="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:08"><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000000">20:48:04.02:08</span></a><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000001">.  Standards for approval of training programs for dialysis technicians.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> An institution or individual desiring to offer a training program for dialysis technicians must submit an application for approval to the board. The board shall approve a training program </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">application if the board determines the applicant has provided </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">proof that the program:</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    (1)  </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">I</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">s based on the curriculum outlined in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:09"><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000003">20:48:04.02:09</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> and includes no less than 80 hours of classroom instruction and an additional 200 hours of clinical or laboratory instruction;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    (2)  </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">Is taught by</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> a registered nurse </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">who is licensed or has a privilege to practice </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">in South Dakota and has </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">at least </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">two years of clinical nursing experience and </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">at least</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> one year of experience in hemodialysis. A person </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">who is </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">licensed </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">or has a privilege to practice </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">as a practical nurse in South Dakota with </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">at least</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> two years of clinical nursing experience and </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">at least</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> one year experience in hemodialysis may assist in classroom instruction and serve as a preceptor in the clinical portion of the training program;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    (3)  </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">Has a faculty-to-student</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> ratio </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">that </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">does not exceed 1:2 in the clinical setting. A 1:1 ratio is required for a skills performance evaluation;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    (4)  </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">Has</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> tests for each unit in the curriculum, including a final test. A skills performance evaluation must be conducted;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    (5)  </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">Requires a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> score of 85 percent or greater on each unit test with an opportunity to retake each unit test one time without additional instruction. If the student fails a unit test a second time, additional instruction is required before further testing is allowed</span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    (6)  </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">Awards a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> completion certificate to a student who has successfully completed the program. The certificate must include the name and location of the </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">program</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">, the length of the program, the date of completion, the full name of the student who completed the program, the signature of the </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">registered nurse who taught the program</span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">, and the date the certificate was awarded; and</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    (7)  </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">Maintains</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> documentation of the following:</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">        (a)  Each student enrolled in the program, including documentation of performance, and the date and reason the student withdrew or the date the student failed or completed the program;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">        (b)  Each individual teaching the program, including qualifications and nursing experience;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">        (c)  The curriculum plan and revisions;</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">        (d)  Any test administered; and</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">        (e)  A list of graduates of the program who were awarded certificates and the date of the award.</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    The institution or individual offering the training program shall submit an evaluation of the curriculum and program standards for compliance with this section to the board every two years in order to maintain approval.</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> 24 SDR 165, effective June 1, 1998</span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">.</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">.</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">    </span><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3C0">.</span></p><p dir="ltr" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3c3e504b-0cda-4c10-99fa-5c9334131bc3000002"> </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.s0d77272c-adaa-4655-8976-80a22806c5eaP0 { 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.s0d77272c-adaa-4655-8976-80a22806c5eaC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0d77272c-adaa-4655-8976-80a22806c5eaC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0d77272c-adaa-4655-8976-80a22806c5eaC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0d77272c-adaa-4655-8976-80a22806c5ea000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0d77272c-adaa-4655-8976-80a22806c5eaC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s0d77272c-adaa-4655-8976-80a22806c5eaP0-000004 { 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.s0d77272c-adaa-4655-8976-80a22806c5ea000005 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:09"><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000000">20:48:04.02:09</span></a><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000001">.  Dialysis technician training curriculum.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0"> </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0"> training program </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">curriculum </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">for dialysis technicians must include:</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5ea000002"> </span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (1)  General information relevant to the performance of selected hemodialysis tasks including:</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5ea000002"> </span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (a)  Governmental regulations related to </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">hemodialysis</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">, the practice of nursing, and delegation;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (b)  The role of the dialysis technician in hemodialysis;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (c)  Ethical issues;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (d)  Client rights and responsibilities;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (e)  Terminology, abbreviations, and symbols;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (f)  Basic client care skills including the collection of vital signs, weight, intake, and output;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (g)  </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">Standard</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0"> precautions and aseptic technique;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (h)  Quality assurance and continuous quality improvement;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (i)  Documentation;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0"> and</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">        (j)  Communication and interpersonal skills;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5ea000002"> </span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (2)  Renal anatomy and physiology;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (3)  </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">R</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">enal disease and treatments;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (4)  Principles of hemodialysis;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (5)  Hemodialysis </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">equipment and machines, including water treatment and dialysate preparation</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (6)  Access procedures;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (7)  Laboratory procedures;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (8)  Administration of </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">local anesthetics, normal saline, and heparin</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (9)  </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">Initiating hemodialysis</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (10)  </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">Monitoring hemodialysis treatments, troubleshooting, and when to report to the registered nurse</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (11)  </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">Identification of complications and response to hemodialysis-related emergencies;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (12)  </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">Discontinuing hemodialysis;</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (13)  Reprocessing and reuse; and</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    (14)  Clinical or laboratory instruction for the purpose of demonstration of selected tasks of hemodialysis and evaluation of individual competence.</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5ea000002"> </span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0"> 24 SDR 165, effective June 1, 1998</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">; 49 SDR 1, effective July 6, 2022</span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">.</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">.</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">    </span><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000003">36-9-4</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s0d77272c-adaa-4655-8976-80a22806c5eaC0">.</span></p><p dir="ltr" class="s0d77272c-adaa-4655-8976-80a22806c5eaP0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0d77272c-adaa-4655-8976-80a22806c5ea000005"> </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.s27d33804-c606-49ac-aa73-505ebc813e0eP0 { 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.s27d33804-c606-49ac-aa73-505ebc813e0eC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s27d33804-c606-49ac-aa73-505ebc813e0eC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s27d33804-c606-49ac-aa73-505ebc813e0eC0-000002 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s27d33804-c606-49ac-aa73-505ebc813e0e000004 { 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="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:10"><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000">20</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000">:</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000">48</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000">:</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000">04.02</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000">:</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000000">10</span></a><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000001">.  Central line dialysis tasks that may be delegated -- Delegation requirements.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">A registered nurse who has at least one year of dialysis experience may delegate central line dialysis tasks in </span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000002">a stable nursing situation</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0"> with direct supervision</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000002">, as those terms are defined in </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:01:01"><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003">20:48:01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000002">, </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">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="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003">20:48:04.01:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003">20:48:04.01:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">, respectively, to a dialysis technician who holds current national certification as a dialysis technician and who has completed a training program that meets the requirements of </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000002">§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:11"><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003">20:48:04.02:11</span></a><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">. Consistent with the requirements of this section, a registered nurse may delegate</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">:</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0e000004"> </span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">    (1)  Initiating and monitoring routine dialysis treatment for stable patients according to institution policy, including:</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0e000004"> </span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">        (a)  Making adjustments to equipment settings, patient positioning, blood flow rates, and fluid removal rates;</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">        (b)  Obtaining blood samples and blood cultures; and</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">        (c)  Administering normal saline, heparin, and low concentration citrate;</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0e000004"> </span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">    (2)  Discontinuing dialysis treatment; and</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">    (3)  Performing aseptic dressing change.</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0e000004"> </span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">    </span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0"> </span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">49</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0"> SDR </span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">1</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">, effective </span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">July 6, 2022</span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">.</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">    </span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">.</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">    </span><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s27d33804-c606-49ac-aa73-505ebc813e0eC0">.</span></p><p dir="ltr" class="s27d33804-c606-49ac-aa73-505ebc813e0eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s27d33804-c606-49ac-aa73-505ebc813e0e000004"> </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.s3584fbf3-d1ea-4662-b62b-e830935b11a6P0 { 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.s3584fbf3-d1ea-4662-b62b-e830935b11a6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000002 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3584fbf3-d1ea-4662-b62b-e830935b11a6000004 { 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="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:11"><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000">20</span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000">:</span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000">48</span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000">:</span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000">04.02</span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000">:</span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000000">11</span></a><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000001">.  Central line dialysis technician training.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">An institution or individual desiring to offer a training program for the delegation of central line tasks listed in </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000002">§</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000002"> </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:10"><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000003">20:48:04.02:10</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0"> must submit an application for approval to the board. The board shall approve a training program application if the board determines the applicant has provided proof that the program:</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6000004"> </span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(1</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">)  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Is taught by a registered nurse who is licensed or has a privilege to practice in South Dakota and has at least two years of dialysis experience;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(2)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Provides a four-hour theoretical course that includes content on:</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(a)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">The roles and responsibilities of the dialysis technician and the nurse;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(b)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Infection control;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(c)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Documentation;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(d)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">The basic principles of central line catheter placement and functions;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(e)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">The initiation and discontinuation of dialysis through a central line catheter;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(f)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Monitoring hemodialysis treatment, troubleshooting, and when to report to the registered nurse;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(g)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">The locking of central catheter devices;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(h)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">The administration of normal saline, heparin, or low concentration citrate during the routine course of dialysis treatment and discontinuation of treatment;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(i)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Aseptic central line dressing changes; and</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">            </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(j)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Identifying and responding to complications;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(3</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">)  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Provides a skills lab for the purpose of demonstrating central line dialysis tasks. A skills performance evaluation must be conducted utilizing a board-approved competency checklist to evaluate individual competence. A 1:1 faculty-to-student ratio is required for skills performance evaluation;</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(4)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Administers a test. A passing score of 85% is required on the test with an opportunity to retake the test one time. If a student fails on retake, additional instruction is required before further testing is allowed; and</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">(5)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">  </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">Requires the dialysis technician to observe a registered nurse perform each central line dialysis task a minimum of three times in the clinical setting. Following observation, the dialysis technician must perform each delegated task successfully a minimum of ten times under the direct observation of a registered nurse before performing the central line task without direct observation.</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6000004"> </span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">A registered nurse shall conduct an annual review of the dialysis technician s competence to perform the central line tasks using a board-approved checklist.</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6000004"> </span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0"> </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">49 SDR 1</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">, effective </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">July 6, 2022</span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">.</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">.</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">    </span><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000003">36-9-3</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0-000003">36-9-21</span></a><span style="white-space: pre-wrap;" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6C0">.</span></p><p dir="ltr" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s3584fbf3-d1ea-4662-b62b-e830935b11a6000004"> </span></p></div></body></html>