Minnesota Guidelines for Medication Administration in Schools - May 2005

(Updated: September 2005)

Maternal and Child Health Section graphic of an outline of a parent with a child in the middle of the outline of Minnesota.



Appendix C: Medication Administration Decision-Making Tree -- Can Medication Administration Be Delegated?


Printer-Friendly Version (PDF: 71KB/1 page)

   
Are there laws and rules in place, which support medication administration delegation?
NO
right arrow
Do Not Delegate    
Medication administration and delegation are within the scope of practice of RN in Minnesota
right arrow
YES
down arrow
     
   
Is the RN competent to make medication administration delegation decisions i.e., knowledge of the medication and side effects?
NO
right arrow
Do Not Delegate
right arrow
Provide and document education
   
YES
down arrow
     
   
Has there been as assessment of the student(s) needs for medication administration in the school?
NO
right arrow
Do Not Delegate
right arrow
Assess, and then proceed with a consideration of delegation
   
YES
down arrow
     
   
Does the UAP/LPN possess the knowledge and skills consistent with the complexity of medication administration or assistance with self-administration of medication?
NO
right arrow
Do Not Delegate
right arrow
Provide and document education/training of the LPN/UAP
   
YES
down arrow
     
   
Can medication Administration be performed without requiring nursing assessment?
NO
right arrow
Do Not Delegate
right arrow
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…
   
YES
down arrow
     
   
Are the effects of the medication being administered reasonably predictable?
NO
right arrow
Do Not Delegate
right arrow
First dose of medication could be supervised by RN or identify a list of specific and potential side effects of the Medication being administered.
   
YES
down arrow
       
   
Can the administration of medication(s) be safely performed according to exact, unchanging directions and according to established procedures?
NO
right arrow
Do Not Delegate
 
   
YES
down arrow
       
   
Can the medication be safely administered without complex observations/assessments or critical decisions?
NO
right arrow
Do Not Delegate
right arrow
Seek other nursing and/or medical supervision.
   
YES
down arrow
       
   
Is appropriate supervision available?
NO
right arrow
Do Not Delegate
 
   
YES
down arrow
       
   
Delegate
     

Adapted from the Delegation Decision Tree previously developed by the Ohio Board of Nursing and the National Council of State Boards of Nursing.

 

<< Previous