Current through Register Vol. 56, No. 19, October 7, 2024
Section 13:37-6.4 - Registered nurse obligations relating to delegations to a licensed practical nurse, CHHA, or assistive person(c) When delegating the administration of a specific medication to a licensed practical nurse, a CHHA, or an assistive person, the registered professional nurse shall ensure that the facility patient record or record maintained by the registered professional nurse includes:1. The specific medication whose administration has been delegated;2. Any specific instructions the registered nurse provided as part of that delegation;3. The duration of the delegation;4. A timeframe for the professional registered nurse to reevaluate the patient;5. The dosage of the medication, route of administration for the medication, and frequency of the medication;6. Any side effects that the licensed practical nurse, the CHHA, or the assistive person should watch for;7. Any contraindications to administering the medication;8. Any conditions that would require the licensed practical nurse, CHHA, or assistive person to contact the registered professional nurse;9. Any instructions on positioning of the patient prior to and after the administration of the medication; and10. The instructions for proper preparation and maintenance of the medication.(d) When delegating the administration of medication to a licensed practical nurse, a CHHA, or an assistive person, the registered professional nurse shall advise the person whom the task is delegated to:1. Document every time that the medication is administered; and2. Report immediately to the delegating registered professional nurse, if: i. The medication was administered at the wrong time;ii. The wrong dose of medication was administered;iii. The wrong medication was administered;iv. The medication was administered through the wrong route;v. The medication was not administered;vi. The patient refused to take the medication; orvii. The patient evidences any adverse reaction or side-effects to the medication.N.J. Admin. Code § 13:37-6.4
Adopted by 48 N.J.R. 423(a), effective 3/7/2016