Alabama Administrative Code
Title 610 - ALABAMA BOARD OF NURSING
Chapter 610-X-7 - STANDARDS OF NURSING PRACTICE; SPECIFIC SETTINGS
Section 610-X-7-.12 - Nursing Student/Graduate Aides
Universal Citation: AL Admin Code R 610-X-7-.12
Current through Register Vol. 43, No. 02, November 27, 2024
(1) A licensed nurse may delegate selected nursing activities supportive to licensed nurses to nursing students currently enrolled in approved schools of nursing, or to graduates of approved schools of nursing who have not achieved licensure as nurses, and employed as nursing aides in licensed healthcare facilities who have successfully completed coursework in pharmacology, medication administration and fundamentals; provided that:
(a) The licensed healthcare
facility at which the nursing student/graduate aide is performing the selected
delegated nursing activities has authorized the delegation.
(b) The nursing student/graduate aide's
competency to perform the selected delegated nursing activities to be delegated
shall be assessed and documented prior to delegation.
(c) The licensed nurse may suspend or
withdraw delegation to the nursing student/graduate aide at any time.
(d) Nursing activities which may be delegated
to the nursing student/graduate aide include:
1. Obtaining vital signs, glucometer, and
pulse oximetry readings
2.
Assisting patients with feeding
3.
Dressing changes limited to the application of simple bandaging (e.g.
steri-strips), wet-to-dry, and/or sterile dressing change
4. Maintenance of ostomies (e.g. colostomy
and urostomy) to include measuring and application of wafer board
5. Restorative care to include ambulation
with gait belt, walker, crutches, and/or wheelchair
6. Restorative care to include active and
passive range-of-motion (ROM) exercises and contracture care
7. Peripheral Venous Phlebotomy for
laboratory analysis
8. Application
of oxygen via nasal cannula
9.
Insertion/Removal of Foley Catheter, to exclude suprapubic
catherization
10. Initiation and
discontinuation of nebulizer treatments to EXCLUDE racemic epinephrine
administration
11. Administration
of routine screening tests/ immunizations (e.g. flu and TB)
12. Removal of intravenous catheter
13. Documentation of all procedures and/or
medications administered in the licensed healthcare facility's electronic
medical records platform and paper records
14. Administration of routine medications.
Routine medications may not be administered through the following routes of
administration:
(i) Gastric
(ii) Nasogastric
(iii) Intravenous
(e) Nursing student/graduate aides
shall not be delegated the following nursing activities:
1. Administration of PRN narcotic or
controlled medications
2. Suction
of and/or replacement of tracheostomy
3. Accessing feeding tubes (G or
J-tubes)
4. Placement of any form
of intravenous catheter
5.
Accessing any intravenous catheter for initiation or therapies
6. Administration of blood or blood
products
(f) Any
individual who has completed an approved registered nursing education program,
has not yet achieved licensure as a registered nurse, an is employed in an
unlicensed capacity in a licensed healthcare facility as a nursing graduate
aide/extern may perform placement of peripheral intravenous
catheters.
(g) As used in this
rule, a nursing student/graduate aide shall be defined as an individual who is
currently enrolled in an approved nursing education program or a graduates of
an approved schools of nursing who has not achieved licensure as nurses and is
employed in an unlicensed capacity in a licensed healthcare facility.
Author: Alabama Board of Nursing
Statutory Authority: Code of Ala. 1975, § 34-21-24.
Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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