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Course: School Nursing Delegation: Do’s and Don’ts of the D-Word

Release Date: 10/30/2020
Expiration Date: 10/30/2023
Originally presented at Virtual NASN2020 on July 2, 2020.

Cost: $20.00/Free for NASN members!

Upon successful completion of this offering, 
participants will receive 1.0 CNE contact hours.

Program Overview
The National Association of School Nurses (NASN) (2016) advocates that all students have access to a school nurse every day all day. Yet, commonly school nurses are responsible for large numbers of increasingly complex students and often travel between schools, leaving students vulnerable (Lineberry & Ikes, 2015; Mangena & Maughan, 2015). School nurses are challenged to meet the healthcare needs of these students and assure their right to a free and appropriate public education under the Rehabilitation Act of 1974 and the Individuals with Disabilities Education Improvement Act (2004). NASN (2019) holds the position that when necessary, legal according to state nurse practice acts, and safe to do so ‐ delegation of nursing tasks in the school setting can serve to help meet these students’ healthcare needs. Delegation is an important part of care coordination under the Framework for 21st Century Nursing Practice (NASN, 2015). However, the delegation of nursing tasks to unlicensed assistive personnel (UAPs) is a complicated and challenging process for school nurses. Appropriate delegation requires critical thinking and astute assessment and communication skills (NASN, 2019). The purpose of this presentation is to outline the legal underpinnings and principles of safe and effective delegation (National Council of State Boards of Nursing & American Nurses Association, 2019). Decision making, processes, and tools to assist the school nurse in reducing the risks of delegating nursing tasks to UAPs will be discussed (Combe & Clark, 2019; Shannon & Kubelka, 2013a, 2013b).

Learning Outcomes
As a result of participating in this educational activity, learners will be able to:
  • Identify the position of NASN on delegation and how it is supported by the Framework for 21st Century Nursing Practice.
  • Define delegation and key related concepts.
  • Describe the principles of nursing delegation applied to the school setting.
  • Outline decision making processes regarding what nursing tasks can and cannot be delegated.
  • State 2 strategies to reduce the risks of delegation in the school setting.
Intended Audience
This continuing education program is a knowledge-based activity developed to meet the educational needs of registered nurses who are interested in child and adolescent health.

Robin Adair Shannon, DNP, Rn, NCSN, PHNA-BC
Clinical Assistant Professor
University of Illinois at Chicago, College of Nursing

Faculty and Program Planner Disclosures
NASN must ensure that all educational session content is free of commercial bias and influence. The intent of this disclosure is to provide learners with information on which they can make their own judgments.

The nurse planner, faculty and reviewers disclose the absence of personal financial relationships with commercial interests relevant to this educational activity within the past 12 months.

Accreditation Statement

National Association of School Nurses is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by NASN or ANCC of any commercial products discussed in this learning activity.

Commercial Support or Grant Funding

This program did not receive commercial support or grant funding.

Instructions to Complete This CNE Activity
To receive a Certificate of Completion for this course, follow the steps below, and complete and view the full content of the program including the course evaluation.

NASN will conduct an outcome assessment of a sample of participants at a later date. Please be advised that, if you complete this course, you may be asked to participate in this outcome assessment.

Step 1: Enroll in the course through the e-commerce system. Select the Purchase button. You will be directed to the e-commerce system. The item should already be in your shopping cart (look for the shopping cart icon at the top of the e-commerce web page).  The cost for this course will be waived for NASN members during the checkout process.

Step 2: Complete and view the full content of the program. Content items are indexed at the bottom of this screen. After you enroll, you will return to this screen. The first content item will be “unlocked” so that you can begin completing the course. Subsequent items will “unlock” as you complete previous items.
Step 3: Print the certificate.