NAC632.226. Employment as school nurse: Duties; delegation of nursing services; requirements for administering medication to pupils.

     1. A school nurse who is a registered nurse shall direct and provide school nursing services.

     2. In carrying out a plan of nursing care for a pupil with special needs pursuant to NRS 391.208, a school nurse who is a registered nurse may delegate nursing services to a qualified person.

     3. A school nurse may delegate only those duties that the Board has approved. The Board will maintain a list of the duties it has approved for delegation and provide a copy of the list to a school nurse or member of the general public upon request.

     4. A licensed practical nurse who is employed by a school district to provide nursing services in a school may not delegate nursing services or assign duties relating to such services to another person.

     5. A school nurse shall develop safe and effective procedures for the administration of medication to pupils that comply with nationally recognized standards and the laws of this State.

     6. A school nurse may not administer medication to a pupil or delegate that duty to another person unless:

     (a) The school nurse has obtained written authorization from the parent or legal guardian of the pupil to administer the medication;

     (b) The medication is labeled; and

     (c) The school nurse verifies that the medication has been prescribed and dispensed by a person authorized to do so pursuant to chapter 453, 454 or 639 of NRS or the laws of another state or the District of Columbia.

     7. A record of the medication administered to a pupil must be maintained at the school the pupil attends. Each time the school nurse or the person to whom he or she delegated the duty administers medication to the pupil, it must be indicated in the record.

     8. As used in this section:

     (a) “Qualified person” means a person who is:

          (1) Certified or licensed by this State to provide nursing services to a pupil;

          (2) Willing to provide nursing services to a pupil and who the school nurse has determined has the knowledge and skill to provide the nursing services to the pupil in a safe and effective manner; or

          (3) Except as otherwise provided in this subparagraph, exempt from the requirement of obtaining a license to practice nursing pursuant to subsection 1 of NRS 632.340 and whom the parent or legal guardian of the pupil designates as a person who may provide nursing services to the pupil. A parent or legal guardian may not designate a person who is employed by the school district in which the pupil attends school as a person who may provide nursing services to the pupil.

     (b) “School nurse” means a licensee who is qualified as set forth in subsection 2 of NRS 391.207 and the regulations adopted pursuant thereto as a school nurse and who is serving in that capacity.

     (Added to NAC by Bd. of Nursing by R071-00, eff. 10-20-2000; A by R002-10, 8-13-2010; R112-11, 2-15-2012)