Section R4-19-813. Performance of Nursing Assistant Tasks; Perfor- mance of Medication Assistant Tasks

A.      A certified nursing assistant may perform the following tasks as delegated by a licensed nurse:

1.        Tasks for which the nursing assistant has been trained through the curriculum identified in R4-19-802, and

2.        Tasks learned through inservice or educational training if the task meets the following criteria and the nursing assis- tant has demonstrated competence performing the task:

a.         The task can be safely performed according to clear, exact, and unchanging directions;

b.        The task poses minimal risk to the patient or resident and the consequences of performing the task improperly are not life-threatening or irreversible;

c.         The results of the task are reasonably predictable; and

d.        Assessment, interpretation, or decision-making   is not required during the performance or at the com- pletion of the task.

B.       A nursing assistant who is also certified as a medication assis- tant under A.R.S. § 32-1650.02 may administer medications under the conditions imposed by A.R.S. §§ 32-1650 through 32-1650.07.

C.      A certificate holder under this Article shall:

1.        Recognize the limits of the certificate holder’s personal knowledge, skills, and abilities;

2.        Comply with laws relevant to nursing assistant and medi- cation assistant practice;

3.        Inform the registered nurse, licensed practical nurse, or another person authorized to delegate the task about the certificate holder’s ability to perform the task before accepting the assignment;

4.        Accept delegation, instruction, and supervision from a licensed nurse or another person authorized to delegate a task;

5.        Not perform any task that requires a judgment based on nursing knowledge;

6.        Acknowledge responsibility for personal actions neces- sary to complete an accepted assigned task;

7.        Follow the plan of care, if available;

8.        Observe, report, and record signs, symptoms,   and changes in the patient or resident's condition in an ongo- ing and timely manner; and

9.        Retain responsibility for all assigned tasks without dele- gating any tasks to another person.

Historical Note

New Section adopted by final rulemaking at 6 A.A.R. 757, effective February 4, 2000 (Supp. 00-1). Amended by final rulemaking at 11 A.A.R. 4254, effective Decem- ber 5, 2005 (Supp. 05-4). Amended by final rulemaking

at 20 A.A.R. 1859, effective September 8, 2014 (Supp.

14-3).