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Delegation to Unlicensed School Personnel, What Are the Issues?

This educational activity is an audio recording of an event originally presented at NASN2014, the 46th Annual NASN Conference.

NOTE: The diabetes delegation resources mentioned in this workshop can be found in Managing Diabetes at School: Tools for the School Nurse

Educational Objectives:
At the completion of this presentation, the participant will be able to:

  • Describe the challenges of providing health services when a school nurse is not available,
  • Identify the process to determine whether a nursing task may be delegated, and
  • Discuss special considerations when planning health services for out-of-state field trips.
Students attending school today include an increasing number of children with special health care needs. The shortage of school nurses available to provide necessary school health services may require delegation of nursing tasks in order for the student to attend school or school sponsored activities.. Nursing Practice laws differ from state to
state, including compact states; this includes the delegation of healthcare services to unlicensed school personnel. Review of state laws, regulations and nursing scope of practice is critical when planning and delegating nursing health services in the school setting and also on out-of-state field trips.

Karen J. Erwin, MSN, RN
Sandra K. Clark, ADN, RN