Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-7 - STANDARDS OF NURSING PRACTICE; SPECIFIC SETTINGS › Section 610-X-7-.12 - Nursing Student/Graduate Aides

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A licensed nurse may delegate selected
			 nursing activities supportive to licensed nurses to nursing students currently
			 enrolled in approved schools of nursing, or to graduates of approved schools of
			 nursing who have not achieved licensure as nurses, and employed as nursing
			 aides in licensed healthcare facilities who have successfully completed
			 coursework in pharmacology, medication administration and fundamentals;
			 provided that:
(a) The licensed healthcare
			 facility at which the nursing student/graduate aide is performing the selected
			 delegated nursing activities has authorized the delegation.
(b) The nursing student/graduate aide's
			 competency to perform the selected delegated nursing activities to be delegated
			 shall be assessed and documented prior to delegation.
(c) The licensed nurse may suspend or
			 withdraw delegation to the nursing student/graduate aide at any time.
(d) Nursing activities which may be delegated
			 to the nursing student/graduate aide include:
1. Obtaining vital signs, glucometer, and
			 pulse oximetry readings
2.
			 Assisting patients with feeding
3.
			 Dressing changes limited to the application of simple bandaging (e.g.
			 steri-strips), wet-to-dry, and/or sterile dressing change
4. Maintenance of ostomies (e.g. colostomy
			 and urostomy) to include measuring and application of wafer board
5. Restorative care to include ambulation
			 with gait belt, walker, crutches, and/or wheelchair
6. Restorative care to include active and
			 passive range-of-motion (ROM) exercises and contracture care
7. Peripheral Venous Phlebotomy for
			 laboratory analysis
8. Application
			 of oxygen via nasal cannula
9.
			 Insertion/Removal of Foley Catheter, to exclude suprapubic
			 catherization
10. Initiation and
			 discontinuation of nebulizer treatments to EXCLUDE racemic epinephrine
			 administration
11. Administration
			 of routine screening tests/ immunizations (e.g. flu and TB)
12. Removal of intravenous catheter
13. Documentation of all procedures and/or
			 medications administered in the licensed healthcare facility's electronic
			 medical records platform and paper records
14. Administration of routine medications.
			 Routine medications may not be administered through the following routes of
			 administration:
(i) Gastric
(ii) Nasogastric
(iii) Intravenous
(e) Nursing student/graduate aides
			 shall not be delegated the following nursing activities:
1. Administration of PRN narcotic or
			 controlled medications
2. Suction
			 of and/or replacement of tracheostomy
3. Accessing feeding tubes (G or
			 J-tubes)
4. Placement of any form
			 of intravenous catheter
5.
			 Accessing any intravenous catheter for initiation or therapies
6. Administration of blood or blood
			 products
(f) Any
			 individual who has completed an approved registered nursing education program,
			 has not yet achieved licensure as a registered nurse, an is employed in an
			 unlicensed capacity in a licensed healthcare facility as a nursing graduate
			 aide/extern may perform placement of peripheral intravenous
			 catheters.
(g) As used in this
			 rule, a nursing student/graduate aide shall be defined as an individual who is
			 currently enrolled in an approved nursing education program or a graduates of
			 an approved schools of nursing who has not achieved licensure as nurses and is
			 employed in an unlicensed capacity in a licensed healthcare facility.