Alaska Administrative Code › Title 12 - Professional Regulations › Part 1 - Boards and Commissions Subject to Centralized Licensing › Chapter 44 - Board of Nursing › Article 9 - General Provisions › 12 AAC 44.966 - Delegation of the administration of injectable medication

Current through May 31, 2024
(a) The
				  administration of injectable medication is a specialized nursing task that may
				  be delegated under the standards set out in
				  12 AAC 44.950(a), (c), and (d) and this
				  section.
(b) The administration of
				  injectable medication may be delegated only by an advanced practice registered
				  nurse to a certified medical assistant. The certified medical assistant may
				  only perform the delegated duty in a private or public ambulatory care setting,
				  and the advanced practice registered nurse must be immediately available on
				  site when the certified medical assistant is administering injectable
				  medication.
(c) Repealed
				  5/16/2018.
(d) To delegate to a
				  certified medical assistant the administration of an injectable medication to a
				  patient the written instructions provided to the certified medical assistant
				  under
				  12 AAC 44.950(a) (7) must also include
				  the information required in
				  12 AAC 44.965(d) (1) - (3).
(e) The delegating advanced practice
				  registered nurse is responsible for ensuring that the certified medical
				  assistant maintains a national certification and for reviewing a current
				  criminal background check upon hire, to be reviewed at five-year intervals. If
				  the certified medical assistant has been convicted of a crime that, under
				  AS
				  08.68.270 and
				  12 AAC 44.705, is substantially related to the
				  qualifications, functions, or duties of a certified nurse aide, registered
				  nurse, or practical nurse, the advanced practice registered nurse may not
				  delegate the administration of injectable medications to that certified medical
				  assistant.
(c) [(f)] The certified
				  medical assistant to whom the administration of an injectable medication is to
				  be delegated must successfully complete a training course in administration of
				  medication that is approved by the board and specific to the allowed
				  medications.
(g) The delegating
				  advanced practice registered nurse is responsible for ensuring that the
				  certified medical assistant monitors the patient's response to the injection
				  for a minimum of 15 minutes and reports and responds to any adverse
				  reactions.
(h) In this section,
(1) "certified medical assistant" means a
				  person who is currently nationally certified as a medical assistant by a
				  national body accredited by the National Commission for Certifying Agencies
				  (NCCA) and meets the requirements of this section;
(2) "immediately available on site" means
				  that the advanced nurse practitioner is present on site in the unit of care and
				  not otherwise engaged in a procedure or task that the nurse practitioner may
				  not immediately leave when needed;
(3) repealed 5/16/2018.
(A) B vitamins;
(B) diphenhydramine;
(C) medroxyprogesterone acetate;
(D) epinephrine delivered by autoinjector;
(E) ketoralac;
(F) vaccines;
(G) purified protein derivative (PPD);
(H) antibiotics that do not
				  require reconstitution;
(I)
				  rocephin;
(J) kenalog;
(K) rhogam;
(L) imitrex;
(M) clindamycin;
(N) reglan;
(O) erythropoetin stimulating agent (procrit,
				  aranesp) - SQ.