Ala. Admin. Code r. 610-X-7-.03 - State Of Alabama Independent Living (SAIL) Program

Current through Register Vol. 40, No. 6, March 31, 2022

(1) 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 caregiver.
(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.
(2) 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 drug overdose.
(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 delegated tasks.
(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 jurisdiction.


Ala. Admin. Code r. 610-X-7-.03
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 Repealed: Filed October 29, 2001; effective December 3, 2001. Adopted by Alabama Administrative Monthly Volume XXXIV, Issue No. 10, July 29, 2016, eff. 9/8/2016. Amended by Alabama Administrative Monthly Volume XXXV, Issue No. 10, July 31, 2017, eff. 9/3/2017.

Author: Alabama Board of Nursing

Statutory Authority: Code of Ala. 1975, ยง 34-21-2(c)(21).

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