Can insulin administration be delegated by an RN?
Yes. Insulin administration (including blood sugar testing) may be delegated to an unlicensed person according to the BON rule ยง225.11 (b). Insulin delegation requires an RN to make supervisory visits to the individual’s location at least three times within the first 60 days (one within the first two weeks, one within the second two weeks and one in the last 30 days) to evaluate the proper medication administration of insulin by each unlicensed person. After the initial 60 days, the RN, in consultation with the individual or CRA, determines the frequency for supervisory visits to assure the proper and safe administration of insulin by the unlicensed person(s). The delegation of insulin requires that the individual or CRA sign a consent that says they are aware that an unlicensed person will administer the medication. An RN must be on call for consultation or intervention 24 hours each day. If the individual is able to administer his or her own insulin, delegation is not required. Blood
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