A school nurse was responsible for five schools. To give students required medications during the day, the school nurse teaches a particular office staff member in each school exactly what to give to whom and when, and they practice until
both are comfortable. Which of the following remains as the nurse's responsibility in relation to the administration of medications?
a.
To begin teaching a second person at each school because the original staff member might occasionally not be available to give the medications
b.
To confirm with each student that they do not mind obtaining their medication from the staff person assigned to the task
c.
To continue to evaluate the comfort level of the staff person in completing the task
d.
To systematically continue with assessment, diagnosis, goal setting, and evaluation of student health needs
ANS: D
Not every school has a full-time nurse available on site. Often a nurse is assigned to three or four schools, resulting in delegation of certain tasks to unlicensed personnel. Each state's nurse practice act stipulates which procedures may be delegated. The responsibility for assessment, diagnosis, goal setting, and evaluation may never be delegated. When tasks are delegated, the nurse must provide appropriate education, written procedures, and ongoing supervision and evaluation of the caregivers.
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