Current through Register Vol. 40, No. 6, March 31, 2022
Registered nurses employed by the State
of Alabama Independent Living (SAIL) Program administered by the Department of
Rehabilitation Services may delegate tasks to a patient's designated caregiver
if each of the following conditions is met:
(a) The Department of Rehabilitation
Services, in conjunction with the registered nurse, approves the patient's
designated caregiver to receive delegation.
(b) The registered nurse is accountable for
determining the tasks that may be safely performed by the patient's designated
(c) The registered nurse
identifies the training needs of the patient's designated caregiver and assures
that the training is appropriate for the task to be delegated.
(d) The patient's designated caregiver
demonstrates competency to perform the delegated task.
The specific delegated tasks shall not
require the exercise of independent nursing judgment or intervention. Specific
tasks that require independent nursing judgment or intervention that shall not
be delegated include, but are not limited to:
(a) Administration of injectable medications,
other than premeasured medication for allergic reactions and opioid-related
(b) Calculation of
medication dosages, other than measuring a prescribed amount of liquid
medication or breaking a scored tablet.
(c) Receipt of verbal or telephone orders
from a licensed prescriber.
(3) The registered nurse shall provide
periodic and regular evaluation and monitoring of the individual performing the
(4) The registered
nurse delegating the task may, at any time, suspend or withdraw the delegation
of specific tasks to the patient's designated caregiver.
(5) The registered nurse is accountable and
responsible for the nursing care delivered to patients under the nurse's
Ala. Admin. Code r.
Filed September 29, 1982.
Amended: Filed September 21, 1984; effective October 29, 1984. Amended: Filed
February 4, 1997; effective March 11, 1997. Repealed: Filed October 29, 2001;
effective December 3, 2001.
Administrative Monthly Volume XXXIV, Issue No. 10, July 29, 2016,
Administrative Monthly Volume XXXV, Issue No. 10, July 31, 2017,
Author: Alabama Board of Nursing
Code of Ala.