reglab/statecodes huggingface dataset:
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:03.01 - Licensure of clinical nurse specialists › Section 20:48:03.01:01 - Application for licensure

Current through Register Vol. 51, page 10, July 15, 2024
An applicant for licensure as a clinical nurse specialist
				  shall file with the board a written application that contains the
				  following:
(1) Evidence that the
				applicant has completed an advanced practice program in nursing that awards or
				confers a graduate degree, post graduate degree, or post graduate certificate,
				with a major in the role and population focus area of clinical nurse
				specialist, and is accredited by a nationally recognized nursing accrediting
				agency approved by the United States Department of Education. If the program
				does not have national accreditation, the program must be board approved in
				order to meet licensure requirements. An applicant who does not meet the
				requirement, who holds an active, unencumbered license as a clinical nurse
				specialist in another state, may request review of educational qualifications
				to meet licensure qualifications in this state;
(2) Evidence that the applicant has passed a
				board-approved nationally recognized certification examination which is
				specific to the applicant's advanced practice registered nurse role and
				educational preparation, and maintains current certification;
(3) The fee required in chapter
				20:48:06;
(4) Evidence of holding
				an unencumbered South Dakota registered nurse license or privilege to
				practice;
(5) A set of fingerprints
				on a standard card provided by the board for the purpose of obtaining a state
				and federal criminal background check through the Division of Criminal
				Investigation. An authorization and release form must be signed by the
				applicant authorizing the release of the criminal history record to the board.
				The fingerprint card, authorization and release form, and fee for the criminal
				background check must accompany the application for licensure. A permanent
				license may not be issued until the criminal background check is
				complete.
General Authority:
SDCL
					 36-9-21(1),
					 36-9-86.
Law Implemented:
SDCL
					 36-9-86,
					 36-9-97.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:03.01 - Licensure of clinical nurse specialists › Section 20:48:03.01:02 - Renewal of licensure

Current through Register Vol. 51, page 10, July 15, 2024
The license of a clinical nurse specialist must be renewed at
				  the same time the registered nurse license is renewed as provided in
				  §§
									20:48:03:09 and
				  20:48:03:10. The applicant for
				  renewal of licensure must show evidence of a current certificate from a
				  national certifying body unless specifically exempted from certification as set
				  forth in SDCL
				  36-9-86.
General Authority:
SDCL
					 36-9-21,
					 36-9-45.
Law Implemented:
SDCL
					 36-9-29,
					 36-9-45,
					 36-9-86.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:03.01 - Licensure of clinical nurse specialists › Section 20:48:03.01:03 - Other rules affecting licensure

Current through Register Vol. 51, page 10, July 15, 2024
Sections 20:48:03:11 to 20:48:03:14, inclusive, relating to
				  inactive status, lapse and reinstatement, replacement of license, and change of
				  name, also apply to a license issued under this chapter.
General Authority:
SDCL
					 36-9-21,
					 36-9-86.
Law Implemented:
SDCL
					 36-9-29,
					 36-9-46 to
					 36-9-47.1,
					 36-9-88,
					 36-9-91.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:03.01 - Licensure of clinical nurse specialists › Section 20:48:03.01:04

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 36-9-21,
					 36-9-86.
Law Implemented:
SDCL
					 36-9-86.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:01.01 - Scope of nursing practice - Registered nurse

Current through Register Vol. 51, page 10, July 15, 2024
A registered nurse in accordance with §
									20:48:04:01 shall use the nursing
				  process in the execution of nursing responsibilities, activities, or tasks
				  authorized in SDCL
				  36-9-3 and this article for the
				  promotion or maintenance of client health and the prevention of illness or
				  injury. A registered nurse may:
(1)
				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.
(2) Identify client problems and use clinical
				judgment in accordance with §
									20:48:04:01 to make independent
				nursing decisions or a nursing diagnosis;
(3) Develop a nursing plan of care that may
				include interventions for health maintenance, patient teaching, counseling,
				prevention of illness, rehabilitation, or discharge planning;
(4) Administer independent nursing
				interventions;
(5) Administer
				medications and treatments prescribed or ordered by a legally authorized
				prescriber, including:
(a) Determining which
				medication to administer when a prescriber orders more than one medication for
				the same therapeutic indication; and
(b) Determining the dose to administer when a
				prescriber orders an as-needed medication with a range of doses;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:01.02 - Scope of nursing practice - Licensed practical nurse

Current through Register Vol. 51, page 10, July 15, 2024
A licensed practical nurse, in accordance with §
									20:48:04:01, may:
(1) Assist in the identification and
				administration of nursing interventions, including:
(a) Determining which medication to
				administer when an authorized prescriber orders more than one medication for
				the same therapeutic indication;
(b) Determining the dose to administer when
				an authorized prescriber orders an as-needed medication with a range of doses;
				and
(c) Administering intravenous
				therapy, authorized in §
										20:48:04:06 or as delegated by a
				registered nurse pursuant to §
										20:48:04:06.01, that is prescribed
				by a legally authorized prescriber;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:01.03 - Supervision of a licensed practical nurse

Current through Register Vol. 51, page 10, July 15, 2024
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:
(1) 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;
(2) 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;
(3)
				The stability of the nursing situation:
(a)
				In a stable nursing situation, the licensed practical nurse may practice with
				minimal supervision. The supervisor is physically on the premises where the
				client is being cared for or readily available by electronic communication;
(b) In a complex nursing situation,
				the licensed practical nurse must practice under direct supervision;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:02.03 - Authorization to perform kidney dialysis functions

Current through Register Vol. 51, page 10, July 15, 2024
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:
(1) Anatomy and physiology;
(2) Assessment;
(3) Problem identification;
(4) Goals of care;
(5) Purposes and procedures;
(6) Complications;
(7) Evaluation and documentation.
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.
General Authority:
SDCL
					 36-9-4.1,
					 36-9-21.
Law Implemented:
SDCL
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:06 - Intravenous therapy tasks that may be performed by licensed practical nurses

Current through Register Vol. 51, page 10, July 15, 2024
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 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
				  §
									20:48:04:01.03:
(1) Insert peripheral venous access devices,
				using a needle or a catheter not to exceed three inches in length;
(2) Administer local anesthetics by the
				intradermal, subcutaneous, or topical routes for the purpose of pain control
				when inserting a peripheral catheter;
(3) Obtain blood samples through a peripheral
				or a central line;
(4) Assemble and
				maintain peripheral line and central line infusion equipment;
(5) 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 §
									20:48:04:07;
(6) Calculate and adjust infusion rates using
				standard formulas for peripheral and central lines;
(7) Reconstitute medications by activation of
				a manufacturer's prepared bag and vial system;
(8) Administer peripheral intravenous push
				medications, if:
(a) Direct supervision is
				provided by a registered nurse, advanced practice registered nurse, physician,
				or other board-approved licensed health care provider;
(b) The medication is not listed in §
										20:48:04:07; and
(c) Administration occurs in a health care
				facility licensed pursuant to SDCL chapter 34-12;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:06.01 - Administration of blood components by a licensed practical nurse

Current through Register Vol. 51, page 10, July 15, 2024
A registered nurse may assign the administration of blood
				  products to a licensed practical nurse if:
(1) 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;
(2) The licensed practical nurse demonstrates
				clinical competence in the administration of the specific type of blood product
				to be administered;
(3) The client
				to be administered the blood product is twelve years of age or older;
(4) The blood product will be administered to
				a client in a hospital licensed pursuant to SDCL chapter 34-12; and
(5) The licensed practical nurse is directly
				supervised during the administration of the blood product, according to §
									20:48:04:01.03.
General Authority:
36-9-21.
Law Implemented:
SDCL
					 36-9-3(7),
					 36-9-4,
					 36-9-4.1.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:07 - Tasks which may not be performed by licensed practical nurses

Current through Register Vol. 51, page 10, July 15, 2024
A licensed practical nurse may not:
(1) Administer the following intravenous
				therapy fluids, medications, agents, or drug classifications:
(a) Antiarrhythmics;
(b) Antineoplastic chemotherapy;
(c) Biologics, including
				immunotherapy;
(d)
				Fibrinolytics;
(e)
				Immunoglobulins;
(f) Investigative
				or experimental;
(g) Oxytocics;
(h) Paralytics;
(i) Thrombolytics;
(j) Tocolytics; or
(k) Vasoactives;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:08 - Scope and standards of nurse anesthetist practice - Prescriptive authority

Current through Register Vol. 51, page 10, July 15, 2024
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.
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.
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.
Prescriptive authority may be modified, denied, suspended or
				  terminated pursuant to SDCL
				  36-9-49 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.
General Authority:
SDCL
					 36-9-3.1.
Law Implemented:
SDCL 1-26, 34-20B,
					 36-9-3.1.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:09 - Scope and standards of nurse anesthetist practice - Controlled substance prescribing

Current through Register Vol. 51, page 10, July 15, 2024
Prior to prescribing any controlled substances listed in SDCL
				  chapter 34-20B, a nurse anesthetist who meets state and federal controlled
				  substance registration requirements, shall register with the state's
				  prescription drug monitoring program and meet the requirements of SDCL chapter
				  34-20E.
The standards for documentation of patient care when
				  prescribing controlled substance drugs for the treatment of chronic, non-cancer
				  pain include:
(1) Documentation of
				results of medical examinations, diagnostic or laboratory tests;
(2) Documentation of a patient's medical and
				psychosocial history;
(3)
				Documentation of advanced comprehensive nursing assessment;
(4) Documentation that appropriate state
				prescription drug monitoring programs were accessed;
(5) Documentation of a patient's treatment
				agreement, if used;
(6)
				Documentation of having provided instructions to the patient, or the patient's
				representative, of the benefits and risks of controlled substances, the proper
				use and storage of drugs, and the proper disposal of unused drugs;
(7) 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;
(8) Documentation of progress of pain
				management and functional improvement; and
(9) Documentation of collaboration with other
				health care providers.
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.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:10 - Scope and standards of nurse anesthetist practice - Use and supervision of radiography

Current through Register Vol. 51, page 10, July 15, 2024
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 §§
									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.
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 34-12 and which meets the radiological
				  requirements set forth in articles 44:75 and 44:76 shall meet the institution'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 34-12
				  shall complete an educational program approved by the board and shall provide
				  documentation of completion to the board.
General Authority:
SDCL
					 36-9-3.1.
Law Implemented:
SDCL 1-26, 34-20A. 34-2QB,
					 34-20E, 36-9-49(5), (7). and (10).
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04 - The practice of nursing › Section 20:48:04:11 - Scope and standards of nurse anesthetist practice - Procedures for pain management

Current through Register Vol. 51, page 10, July 15, 2024
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.
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
				  34-12, shall meet the institution's requirements 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.
General Authority:
SDCL
					 36-9-3.1.
Law Implemented:
SDCL
					 36-9-3.1.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:01 - Scope of nursing practice for the registered nurse

Current through Register Vol. 51, page 10, July 15, 2024
The registered nurse is responsible to organize, manage, and
				  supervise the practice of nursing and retains professional accountability for
				  nursing care. The registered nurse, in accordance with 20:48:04:01, uses the
				  nursing process in the execution of nursing responsibilities, activities, or
				  tasks for the promotion or maintenance of client health, prevention of illness
				  or injury, or provision of nursing services. The registered nurse may:
(1) Conduct a comprehensive nursing
				assessment including initiating the collection and analysis of pertinent
				objective and subjective data and analyzing the data regarding the health
				status of a client;
(2) Conduct
				ongoing assessments to anticipate and recognize changes or potential changes in
				client status, including assimilation of data gathered from licensed practical
				nurses and other members of the health care team;
(3) Identify client problems using
				decision-making and clinical judgement to make independent nursing decisions
				and nursing diagnosis;
(4) Develop
				a nursing plan of care that may include interventions for health maintenance,
				patient teaching, counseling, prevention of illness, rehabilitation, or
				discharge planning;
(5) Administer
				independent nursing interventions;
(6) Administer medications and treatments
				prescribed or ordered by a legally authorized prescriber, including:
(a) Determining which medication to
				administer when a prescriber orders more than one medication for the same
				therapeutic indication, including pain management medication; and
(b) Determining the dose to administer when a
				prescriber orders an as needed medication with a range of doses;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:02 - Scope of nursing practice for the licensed practical nurse

Current through Register Vol. 51, page 10, July 15, 2024
The licensed practical nurse assists and contributes to the
				  implementation of the nursing process, in accordance with 20:48:04:01, as
				  assigned or delegated by a registered nurse, advanced practice registered
				  nurse, physician, or other authorized licensed independent health care
				  provider, to provide nursing services for the promotion or maintenance of
				  client health and prevention of illness or injury. The licensed practical nurse
				  may:
(1) Conduct a focused nursing
				assessment that may contribute to a registered nurse's comprehensive nursing
				assessment and plan of care;
(2)
				Assist in the identification and administration of nursing interventions,
				including:
(a) Administering medications and
				treatments, prescribed by a legally authorized prescriber; including,
i. Determining which medication to administer
				when an authorized prescriber orders more than one medication for the same
				therapeutic indication, including pain management medication; and
ii. Determining the dose to administer when
				an authorized prescriber orders an as needed medication with a range of
				doses;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:03 - Supervision of a licensed practical nurse

Current through Register Vol. 51, page 10, July 15, 2024
The registered nurse, advanced practice registered nurse,
				  licensed physician, or other board-approved licensed health care provider,
				  shall supervise the practice of a licensed practical nurse. The supervising
				  health care provider shall determine if direct or minimal supervision is
				  required after considering:
(1) 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;
(2) The complexity of task, determined by the
				depth of knowledge needed to perform the task and the potential threat to the
				client's well-being, if a task is determined to be complex, direct supervision
				must be provided;
(3) Stability of
				the nursing situation:
(a) In a stable
				nursing situation if changes to a client's nursing interventions or medical
				orders are expected to occur over a period of days or weeks, the licensed
				practical nurse may practice with minimal supervision.
(b) In a complex nursing situation if
				frequent changes in nursing interventions or medical orders are anticipated
				within minutes or hours, the licensed practical nurse must participate in the
				performance of nursing tasks under direct supervision;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:07 - Nursing tasks that may not be delegated

Current through Register Vol. 51, page 10, July 15, 2024
A licensed nurse may not delegate to nursing assistive
				  personnel:
(1) Assessments which
				require professional nursing judgment, intervention, referral, or
				follow-up;
(2) Formulation of the
				plan or nursing care and evaluation of the client's response to the care
				rendered;
(3) Specific tasks
				involved in the implementation of the plan of care which require nursing
				judgment or intervention, such as:
(a) Sterile
				procedures involving a wound or anatomical site which could potentially become
				infected;
(b) Nasogastric tube
				feeding;
(c) Nasogastric,
				jejunostomy and gastrostomy tube insertion or removal;
(d) Tracheostomy care and suctioning;
				and
(e) Suprapubic catheter
				insertion and removal, with the exception of urinary foley
				catheterization;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:09 - Requirements for delegated medication administration to nursing assistive personnel

Current through Register Vol. 51, page 10, July 15, 2024
A licensed nurse may delegate the administration of
				  medications authorized under §§ 20:48:04.01:09.01 to 20:48:04.01:11,
				  inclusive, to nursing assistive personnel who:
(1) Have a minimum of a high school education
				or the equivalent,
(2) Completed a
				board-approved medication administration training program in accordance with
				§ 20:48:04.01:13 or a board-approved equivalent program; and
(3) If administering medications in a skilled
				nursing facility, assisted living center, or a hospital, licensed under SDCL
				chapter 34-12, are registered with the board in accordance with chapter
				20:48:16.
General Authority:
SDCL
					 13-33A-2,
					 36-9-21.
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:09.01 - Delegation of medication administration tasks to nursing assistive personnel

Current through Register Vol. 51, page 10, July 15, 2024
A licensed nurse may delegate the following medication
				  administration tasks to nursing assistive personnel if the delegation complies
				  with the general criteria for delegation and supervision set forth in
				  §§ 20:48:04.01:01 and 20:48:04.01:02, respectively:
(1) Administration of scheduled medications
				by oral, sublingual, eye, ear, nasal, rectal, topical, transdermal, vaginal, or
				inhalation route;
(2) Measuring 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
(3) Administration of
				schedule II controlled substances listed in SDCL
				34-20B-16 and
				34-20B-17 which have been
				prescribed and labeled in a container for a specific client.
If the nursing assistant is administering medications in a
				  hospital setting, a registered nurse must provide direct supervision as defined
				  in §
										20:48:01:01.
General Authority:
SDCL
					 13-33A-2,
					 36-9-21.
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:10 - Delegation of additional medication administration tasks to a medical assistant

Current through Register Vol. 51, page 10, July 15, 2024
In addition to the tasks listed in § 20:48:04.01:09.01,
				  a licensed nurse may delegate the following medication administration tasks to
				  a medical assistant, who holds current certification with a national
				  certification body approved by the board, in a stable nursing situation as
				  defined in §
									20:48:01:01:
(1) Administration of scheduled medications
				by intradermal, subcutaneous, or intramuscular route; and
(2) Calculation of the dose.
General Authority:
SDCL
					 13-33A-2,
					 36-9-21.
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:11 - Medication administration tasks that may not be routinely delegated and require written protocol

Current through Register Vol. 51, page 10, July 15, 2024
The following are medication administration tasks that may be
				  delegated to nursing assistive personnel only in accordance with §
				  20:48:04.01:01:
(1) Administration of
				the initial dose of a medication that has not been previously administered to
				the client;
(2) Administration of
				medications on an as-needed basis, including schedule II controlled substances
				listed in SDCL
				34-20B-16 and
				34-20B-17 which have been
				prescribed and labeled in a container for a specific client; and
(3) Administration of insulin by the
				subcutaneous route, when a licensed nurse is not available to administer the
				insulin, in accordance with §§ 20:48:04.01:16 and 20:48:04.01:17.
A registered nurse shall develop written protocol for the
				  instruction and training of nursing assistive personnel and maintain the
				  protocol on file.
General Authority:
SDCL
					 13-33A-2,
					 36-9-21.
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:12 - Medication administration tasks that may not be delegated

Current through Register Vol. 51, page 10, July 15, 2024
The licensed nurse may not delegate the following tasks of
				  medication administration:
(1)
				Administration of schedule II controlled substances listed in SDCL
				34-20B-16 and
				34-20B-17 from a locked stock
				supply;
(2) Administration of
				medications by subcutaneous, intramuscular, intradermal, or intravenous route
				except as authorized in §§ 20:48:04.01:10 and 20:48:04.01:16 to
				20:48:04.01:18, inclusive;
(3)
				Administration of medications by way of a tube inserted in a cavity of the body
				except as authorized in § 20:48:04.01:18;
(4) Administration of medications via
				inhalation route in a complex nursing situation as defined in §
									20:48:01:01; and
(5) Calculation of any medication dose except
				as authorized in § 20:48:04.01:10.
General Authority:
SDCL
					 13-33A-2,
					 36-9-21(4).
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-4, 369-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:13 - Approval of training program required for delegated medication administration

Current through Register Vol. 51, page 10, July 15, 2024
Medication administration as outlined in §
				  20:48:04.01:09.01 to 20:48:04.01:11, inclusive, may be delegated to individuals
				  who have successfully completed a training program approved by the board
				  pursuant to §§ 20:48:04.01:14 and 20:48:04.01:15. Approval of the
				  training program must be renewed every two years.
General Authority:
SDCL
					 13-33A-2,
					 36-9-21.
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:14 - Standards for approval of medication administration training programs

Current through Register Vol. 51, page 10, July 15, 2024
An institution or individual desiring to offer a training
				  program for delegated medication administration for nursing assistive personnel
				  must submit an application for approval to the board. The board shall grant
				  approval to an applicant training program upon proof that the training
				  program:
(1) Is based on the training
				curriculum outlined in § 20:48:04.01:15 and includes no less than 16 hours
				of theoretical instruction and 4 hours of clinical or laboratory
				instruction;
(2) Is taught by a
				registered nurse who holds a registered nurse license in South Dakota or
				privilege to practice and has a minimum of two years of clinical nursing
				experience. A licensed practical nurse who holds a license in South Dakota or
				privilege to practice and has a minimum of two years of clinical nursing
				experience may assist with the lab or clinical portion of the training
				program;
(3) Has a
				faculty-to-student ratio that does not exceed 1:8 in the clinical setting. A
				1:1 ratio is required for skills performance evaluation;
(4) Conducts a skills performance evaluation
				by a registered nurse instructor utilizing a Board approved competency
				checklist;
(5) Requires completion
				of a written examination. A passing score of 85 percent 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;
(6) Awards a completion certificate to a
				person who has successfully completed 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 person who completed the
				program, the signature of the faculty member in charge of the course, and the
				date the certificate was awarded; and
(7) Maintains documentation of the following:
(a) Each person enrolled in the program,
				including documentation of performance and the date and reason the person
				withdrew or the date the person failed or completed the program;
(b) Each faculty member teaching the program,
				including qualifications and nursing experience;
(c) The curriculum plan and
				revisions;
(d) All tests
				administered; and
(e) A list of
				graduates of the program who were awarded certificates and the date of the
				award.
The training program must submit an evaluation of the
				  curriculum and program standards for compliance with this section to the board
				  every two years to maintain approval.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:14.01 - Standards for medication administration training programs

Current through Register Vol. 51, page 10, July 15, 2024
An individual or institution approved by the board to offer a
				  medication administration training program must ensure the training program
				  meets the following standards:
(1)
				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;
(2)
				Requires the student to complete a skills performance evaluation administered
				by a registered nurse instructor utilizing a board-approved competency
				checklist;
(3) Requires the student
				to pass a written examination on the curriculum content in
				§20:48:04.01:15. 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;
(4) 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
(5)
				Maintains documentation of:
(a) Each student
				enrolled in the program, including documentation of successful completion or
				the date and reason the student withdrew or failed;
(b) Each faculty member teaching the program,
				including the qualifications and nursing experience of each faculty;
				and
(c) All tests
				administered.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:15 - Medication administration curriculum

Current through Register Vol. 51, page 10, July 15, 2024
The training curriculum for delegated medication
				  administration must include:
(1)
				General information relevant to the administration of medications, including:
(a) Governmental regulations related to the
				practice of nursing, the administration of medication, and the storage,
				administration, and recording of controlled substances;
(b) Ethical issues;
(c) Terminology, abbreviations, and
				symbols;
(d) Medication
				administration systems;
(e) Forms
				of medication;
(f) Procedures and
				routes of medication administration;
(g) Medication references
				available;
(h) The role of nursing
				assistive personnel in administering medications;
(i) The rights of medication administration:
				right patient, right medication, right dose, right time, right route, right
				documentation;
(j) Infection
				control policies and procedures;
(k) Documentation;
(l) Medication errors;
(m) Safe medication storage and disposal;
				and
(n) Circumstances to consult or
				report to the nurse, including the administration of an as-needed medication, a
				deviation from the delegated instruction of the nurse, or a concerning
				observation;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:16 - Written protocol required for the delegation of insulin administration by the subcutaneous route to nursing assistive personnel

Current through Register Vol. 51, page 10, July 15, 2024
A written protocol for the delegation of insulin
				  administration by the subcutaneous route to nursing assistive personnel is
				  required prior to delegation by the registered nurse. The registered nurse must
				  ensure that the following requirements are included in the protocol:
(1) The nursing assistant completes a five
				hour board-approved training in the following areas:
(a) Diabetes basics;
(b) Hypoglycemia;
(c) Hyperglycemia;
(d) Blood glucose monitoring;
(e) Glucagon administration;
(f) Insulin types and methods of
				administration;
(g) Nutrition and
				physical activity;
(h)
				Documentation; and
(i) Standard
				precautions;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:17 - Qualifications of the registered nurse for delegation of insulin administration by the subcutaneous route to nursing assistive personnel

Current through Register Vol. 51, page 10, July 15, 2024
A registered nurse must meet the following qualifications to
				  delegate insulin administration by the subcutaneous route to nursing assistive
				  personnel in accordance with §§ 20:48:04.01:11, 20:48:04.01:16, and
				  20:48:04.01:19:
(1) Hold an active
				registered nurse license or privilege to practice in the state of South
				Dakota;
(2) Have two years of
				clinical nursing experience;
(3)
				Have written evidence to support demonstrated competence in the area of
				diabetes management in the past five years or completion of a diabetes train
				the trainer program approved by the Board; or
(4) Hold current specialty certification as a
				Certified Diabetes Educator (CDE).
General Authority:
SDCL
					 13-33A-2,
					 36-9-21.
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:18 - Exception for delegation of specific medication administration

Current through Register Vol. 51, page 10, July 15, 2024
A licensed nurse may delegate the administration of one
				  specific medication to one specific nursing assistive person if:
(1) The nursing assistive person's assigned
				duties do not ordinarily include the administration of medications for
				clients;
(2) A licensed nurse is
				not available to administer the medication;
(3) The delegation complies with the general
				criteria for delegation and supervision set forth in §§
				20:48:04.01:01 and 20:48:04.01:02, respectively;
(4) The delegation is not prohibited by any
				other state or federal requirement; and
(5) The licensed nurse fulfills with the
				nursing assistive personnel training requirements in §
				20:48:04.01:19.
General Authority:
SDCL
					 13-33A-2,
					 36-9-21.
Law Implemented:
SDCL
					 13-33A-1,
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.01 - Delegation of nursing tasks › Section 20:48:04.01:19 - Training required for the delegation of specific medication administration

Current through Register Vol. 51, page 10, July 15, 2024
A licensed nurse must ensure that the following requirements
				  are met prior to delegating the administration of a specific medication as
				  outlined in § 20:48:04.01:18:
(1)
				Provide instruction to the nursing assistant on the specific medication to be
				administered, including:
(a) The trade name
				and generic name;
(b) The purpose
				of the medication;
(c) Signs and
				symptoms of common side effects, warnings, and precautions;
(d) Route of administration; and
(e) When to contact the licensed
				nurse;
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.02 - Delegation of nursing tasks to dialysis technicians › Section 20:48:04.02:01 - Definition of dialysis technician

Current through Register Vol. 51, page 10, July 15, 2024
A dialysis technician is an individual who is not licensed as
				  a nurse under SDCL chapter 36-9 but is trained to assist a nurse with the
				  provision of hemodialysis tasks, as delegated by the nurse and authorized by
				  this chapter.
General Authority:
SDCL
					 36-9-21.
Law Implemented:
SDCL
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.02 - Delegation of nursing tasks to dialysis technicians › Section 20:48:04.02:03 - Additional functions performed by licensed practical nurse in kidney dialysis

Current through Register Vol. 51, page 10, July 15, 2024
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 §
									20:48:04:02.03.
General Authority:
SDCL
					 36-9-21.
Law Implemented:
SDCL
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.02 - Delegation of nursing tasks to dialysis technicians › Section 20:48:04.02:04 - Dialysis technician requirements

Current through Register Vol. 51, page 10, July 15, 2024
A licensed nurse may delegate hemodialysis tasks as
				  authorized under this chapter to a dialysis technician who:
(1) Has a minimum of a high school diploma or
				the equivalent;
(2) Has completed a
				board-approved training program for dialysis technicians; and
(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.
General Authority:
SDCL
					 36-9-21.
Law Implemented:
SDCL
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.
South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:48 - NURSES › Chapter 20:48:04.02 - Delegation of nursing tasks to dialysis technicians › Section 20:48:04.02:05 - Hemodialysis tasks that may be delegated to dialysis technician

Current through Register Vol. 51, page 10, July 15, 2024
The following hemodialysis tasks may be delegated to a
				  dialysis technician in a stable nursing situation with direct supervision, as
				  those terms are defined in §
									20:48:01:01, and if the delegation
				  complies with the general criteria for delegation and supervision set forth in
				  §§ 20:48:04.01:01 and 20:48:04.01:02, respectively:
(1) Assemble any necessary
				supplies;
(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;
(3) Obtain pre-dialysis
				vital signs, weight, and temperature and inform registered nurse of abnormal or
				unusual findings;
(4) Inspect
				access site and report condition to registered nurse;
(5) Perform venipuncture to initiate dialysis
				including the administration of local anesthetics by the intradermal,
				subcutaneous, or topical routes;
(6) Obtain blood samples and blood cultures
				from extracorporeal circuit, fistula, or graft;
(7) Administer heparin and normal saline in
				the course of a routine hemodialysis treatment according to prescribed
				protocol;
(8) Measure and adjust
				blood flow rates according to prescribed protocol;
(9) Calculate, determine, and adjust fluid
				removal rates according to prescribed protocol;
(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;
(11) Monitor equipment for
				safe and proper functioning, respond to alarms, and make appropriate
				adjustments;
(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;
(13) Discontinue dialysis and establish
				hemostasis upon direction of the registered nurse;
(14) Inspect, clean, and dress access
				according to protocol, reporting any unusual finding or occurrence to the
				registered nurse; and
(15) Prepare,
				test, and monitor water treatment and dialysate.
General Authority:
SDCL
					 36-9-21.
Law Implemented:
SDCL
					 36-9-3,
					 36-9-4,
					 36-9-4.1,
					 36-9-21.