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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
and Emergency Care Regulation (2720.1). The school nurse shall prepare a folder of
information and review procedures with any unlicensed personnel who will provide
health-related services in the nurse’s absence. The school nurse shall provide for the
nurse substitute a place to document the medications, as well as training deemed
appropriate for the unlicensed assistant.
The school nurse will observe the unlicensed employee designated to carry out
the health care task and monitor his or her performance. Monitoring of the task is
defined as the active process of directing, guiding and influencing the outcome of the
unlicensed person’s performance of the health-related service. Monitoring by the nurse
may be on-site (with the school nurse physically present) or off-site (with the school
nurse providing direction through various means of written and verbal communication).
When developing a plan for the training of a specific health care task, the school
nurse:
A.
Validates the documentation provided by the sponsor/parent/guardian.
B.
Works with the principal to determine which school personnel are
appropriate to accept the delegated task.
C.
Conducts the initial nursing assessment of the student to identify which
health care task to train the designated person to accomplish.
D.
Conducts training, documentation, evaluation and retraining as necessary.
E.
Follows the Five Rights of Delegation:
1.
Right task
2.
Right circumstances
3.
Right person
4.
Right directions
5.
Right monitoring/supervision of the task
School nurses will NOT provide training for the use of stock epinephrine to other nurses
or UAP.
Reference:
American Nurses Association and the National Council of State Boards of Nursing
Joint Statement on Delegation. Available at:
https://www.ncsbn.org/Delegation_joint_statement_NCSBN-ANA.pdf‘Delegation in the School Setting, Is it Safe Practice? The Online Journal of
Issues in Nursing, Number 2, May, 2010. Available at:
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodic als/OJIN/TableofContents/Vol152010/No2May2010/Delegation-in-the-School- Setting.aspx