Interventions that may not be delegated to an UAP/MAIII are interventions that require nursing knowledge, skill, and judgement. Per NDAC 54-07-03.1-03.1 these activities include:
- Physical, psychological, and social assessment which requires professional nursing judgment, intervention, referral, or follow-up.
- Development of nursing diagnosis and care goals.
- Formulation of the plan of nursing care.
- Evaluation of the effectiveness of the nursing care provided.
- Teaching except for that related to promoting independence in activities of daily living.
- Counseling, except that the unlicensed assistive person may be instructed to recognize and report basic deviations from healthy behavior and communication patterns, and may provide listening, empathy, and support.
- Coordination and management of care including collaborating, consulting, and referring.
- Medication administration may not be delegated unless the unlicensed assistive person has met the requirements of NDAC chapter 54-07-05. The exception is when a licensed nurse specifically delegates to a specific unlicensed assistive person the administration of a specific medication for a specific client.
- Receiving or transmitting verbal or telephone orders.
