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(a) Specialized nursing duties are those duties that do not require professional nursing education to correctly perform, but require more training and skill than routine nursing duties. Specialized nursing duties may be delegated to another person under the standards set out in 12 AAC 44.950.
(b) Specialized nursing tasks that may be delegated include
(1) changing simple, nonsterile dressings using aseptic technique when no wound debridement or packing is involved;
(2) assisting patients with self-medication;
(3) obtaining blood glucose levels;
(4) suctioning of the oral pharynx;
(5) providing tracheostomy care in established, stable patients;
(6) removal of internal or external urinary catheters;
(7) adding fluid to established gastrostomy tube feedings and changing established tube feeding bags; and
(8) placing electrodes and leads for electrocardiogram, cardiac monitoring, and telemetry.
(c) A nurse who delegates a nursing duty to another person under this section shall develop a nursing delegation plan that describes the frequency and methods of evaluation of the performance of the delegated duty by the other person. The delegating nurse shall evaluate a continuing delegation as appropriate, but must perform an evaluation on-site at least once every 90 days after the delegation was made. The delegating nurse shall keep a record of the evaluations conducted.
History: Eff. 10/14/2004, Register 172
Authority: AS 08.68.100
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Last modified 7/05/2006