Minnesota Guidelines for Medication Administration in Schools - May 2005
(Updated: September 2005)
Appendix C: Medication Administration Decision-Making Tree -- Can Medication
Administration Be Delegated?
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Are there laws and rules in place, which
support medication administration delegation? |
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NO
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Do Not Delegate |
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Medication administration and delegation
are within the scope of practice of RN in Minnesota |
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YES
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Is the RN competent to make medication
administration delegation decisions i.e., knowledge of the
medication and side effects? |
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NO
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Do Not Delegate |
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Provide and document education |
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YES
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Has there been as assessment of the student(s)
needs for medication administration in the school? |
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NO
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Do Not Delegate |
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Assess, and then proceed with a consideration
of delegation |
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YES
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Does the UAP/LPN possess the knowledge
and skills consistent with the complexity of medication administration
or assistance with self-administration of medication? |
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NO
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Do Not Delegate |
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Provide and document education/training
of the LPN/UAP |
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YES
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Can medication Administration be performed
without requiring nursing assessment? |
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NO
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Do Not Delegate |
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Seek alternative ways to provide the medication
needed i.e., refer to home care agency or public health agency,
provide special needs assessment request technical assistance… |
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YES
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Are the effects of the medication being
administered reasonably predictable? |
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NO
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Do Not Delegate |
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First dose of medication could be supervised
by RN or identify a list of specific and potential side effects
of the Medication being administered. |
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YES
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| Can the administration of
medication(s) be safely performed according to exact, unchanging
directions and according to established procedures? |
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NO
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Do Not Delegate |
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YES
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Can the medication be safely administered
without complex observations/assessments or critical decisions? |
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NO
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Do Not Delegate |
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Seek other nursing and/or medical supervision. |
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YES
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Is appropriate supervision available? |
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NO
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Do Not Delegate |
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YES
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Adapted from the Delegation Decision Tree previously developed by the
Ohio Board of Nursing and the National Council of State Boards of Nursing.
