Can school nurses delegate the task of administering insulin and glucagon?
According to NHBON rule NUR 404.06 (b), any nurse who delegates a task must take into account factors such as the stability of the client’s situation and whether the nursing needs of the client are changing. Ed 311.02 allows public school nurses to delegate injectables such as insulin and glucagon but NUR 404.06 (b) narrows the option because the person performing the injection must make clinical judgments about dosages and related issues. There may be special circumstances when those working closely with a student are appropriate delegates and in those circumstances, the School Nurse would follow the NUR 400 provisions. It is important to remember that the nurse must always act in accordance with the policies and procedures of his/her employer.
