South Dakota Administrative Code

Rule 20:48:03:12 Lapse and reinstatement of license. 20:48:03:12. Lapse and reinstatement of license. If a licensee fails to maintain active status or secure inactive status as provided in SDCL 36-9-45 or 36-9-46, the license shall lapse on the final date of the period for which …

Rule 20:48:03:13 Replacement of license. 20:48:03:13. Replacement of license. If the original license or the certificate of renewal is lost, misplaced, stolen, or destroyed, the licensee shall immediately report that fact to the board in writing. Upon the board's receipt of a sta…

20:48:03:14. Name change requirements. If an applicant or licensee has a change of name, the applicant or licensee must, within sixty days, submit to the board an application and a certified copy of the legal instrument or other written evidence that authenticates the name change…

20:48:03:14.01. Licensure reporting requirements. An applicant or licensee shall, within sixty days of the event, report to the board any of the following events: (1) A change of address; (2) A conviction or a finding of guilt, or entering into an agreed disposition, of a felony …

Rule 20:48:03:15 Repealed. 20:48:03:15. Evidence of change of name.Repealed. Source: SL 1975, ch 16, § 1; 5 SDR 40, effective November 13, 1978; repealed, 6 SDR 88, effective March 3, 1980.

Rule 20:48:03:16 Eligibility for active status licensure -- Reentry standards. 20:48:03:16. Eligibility for active status licensure -- Reentry standards. Registered nurses and licensed practical nurses must be employed in nursing for a minimum of 140 hours in any 12-month period …

Rule 20:48:03:17 Criteria for refresher course. 20:48:03:17. Criteria for refresher course. Each course must be approved initially and annually by the board. Board approval must be obtained prior to enrollment of students. A refresher course must meet the following criteria to ob…

20:48:03:18. Emergency suspension of license, temporary permit, or privilege to practice. The executive director may issue an order of emergency suspension to an individual who holds a board-issued nursing license, temporary permit, or privilege to practice if the continued pract…

20:48:03.01:01. Application for licensure. An applicant for licensure as a clinical nurse specialist shall file with the board a written application that contains: (1) Evidence that the applicant has completed an advanced practice program in nursing that awards or confers a gradu…

Rule 20:48:03.01:02 Renewal of licensure. 20:48:03.01:02. Renewal of licensure. The license of a clinical nurse specialist must be renewed at the same time the registered nurse license is renewed as provided in §§ 20:48:03:09 and 20:48:03:10. The applicant for renewal of licensur…

20:48:03.01:03. Other rules affecting licensure. Sections 20:48:03:11 to 20:48:03:14.01, inclusive, and 20:48:03:18 also apply to this chapter. Source: 22 SDR 61, effective November 7, 1995; 51 SDR 16, effective August 18, 2024; 52 SDR 24, effective September 8, 2025. General Aut…

20:48:03.01:04. Criteria for approval of examinations. Repealed. Source: 22 SDR 61, effective November 7, 1995; 48 SDR 40, effective October 5, 2021.

20:48:04:01. Standards of nursing practice -- Registered nurse and licensed practical nurse. The standards of practice for a registered nurse and a licensed practical nurse are to: (1) Practice within the legal boundaries for nursing practice authorized in SDCL chapter 36-9 and t…

20:48:04:01.01. Scope of nursing practice -- Registered nurse. A registered nurse in accordance with § 20:48:04:01 shall use the nursing process in the execution of nursing responsibilities, activities, or tasks authorized in SDCL 36-9-3 and this article for the promotion or main…

20:48:04:01.02. Scope of nursing practice -- Licensed practical nurse. A licensed practical nurse, in accordance with § 20:48:04:01, may: (1) Assist in the identification and administration of nursing interventions, including: (a) Determining which medication to administer when a…

20:48:04:01.03. Supervision of a licensed practical nurse. A registered nurse or advanced practice registered nurse who supervises the practice of a licensed practical nurse shall determine if direct or minimal supervision is required after considering: (1) The educational prepar…

Rule 20:48:04:02 Repealed. 20:48:04:02. Additional functions which may be performed by licensed practical nurses.Repealed. Source: SL 1975, ch 16, § 1; 3 SDR 35, effective November 11, 1976; 6 SDR 88, effective March 3, 1980; 12 SDR 109, effective January 9, 1986; 12 SDR 151, 12 …

Rule 20:48:04:02.01 Repealed. 20:48:04:02.01. Outline of course for preparation of licensed practical nurses for kidney dialysis functions. Repealed. Source: 13 SDR 49, effective October 27, 1986; 26 SDR 174, effective July 4, 2000; repealed, 41 SDR 12, effective July 31, 2014.

Rule 20:48:04:02.02 Repealed. 20:48:04:02.02. Criteria for approval of course for preparation of licensed practical nurses for kidney dialysis functions. Repealed. Source: 13 SDR 49, effective October 27, 1986; 20 SDR 159, effective April 5, 1994; 22 SDR 23, effective August 29, …

Rule 20:48:04:02.03 Authorization to perform kidney dialysis functions. 20:48:04:02.03. Authorization to perform kidney dialysis functions. A licensed practical nurse may perform kidney dialysis functions if the licensed practical nurse has completed a course on kidney dialysis t…

20:48:04:02.04. Training program required for a licensed practical nurse to perform kidney dialysis functions. Repealed. Source: 26 SDR 174, effective July 4, 2000; 49 SDR 1, effective July 6, 2022.

Rule 20:48:04:03 Repealed. 20:48:04:03. Recommendations of South Dakota joint practice commission.Repealed. Source: 3 SDR 35, effective November 11, 1976; repealed, 6 SDR 88, effective March 3, 1980.

Rule 20:48:04:04 Repealed. 20:48:04:04. Settings permitted for performance of overlapping functions.Repealed. Source: 3 SDR 35, effective November 11, 1976; repealed, 6 SDR 88, effective March 3, 1980.

Rule 20:48:04:05 Repealed. 20:48:04:05. Intravenous therapy functions which may not be performed by licensed practical nurses.Repealed. Source: 20 SDR 159, effective April 5, 1994; repealed, 26 SDR 174, effective July 4, 2000.

20:48:04:06. Intravenous therapy tasks that may be performed by licensed practical nurses. A licensed practical nurse who has completed a program of study that included supervised clinical practice acquired through a pre-licensure nursing education program or a continuing educati…

20:48:04:06.01. Administration of blood components by a licensed practical nurse. A registered nurse may assign the administration of blood products to a licensed practical nurse if: (1) The licensed practical nurse has completed a program of study on the transfusion of blood pro…

20:48:04:07. Tasks that may not be performed by licensed practical nurses. A licensed practical nurse may not: (1) Administer the following intravenous therapy fluids, medications, agents, or drug classifications: (a) Antiarrhythmics; (b) Antineoplastic chemotherapy; (c) Biologic…

Rule 20:48:04:08 Scope and standards of nurse anesthetist practice -- Prescriptive authority. 20:48:04:08. Scope and standards of nurse anesthetist practice -- Prescriptive authority. A nurse anesthetist who holds an active, unencumbered license in this state is authorized to pre…

Rule 20:48:04:09 Scope and standards of nurse anesthetist practice -- Controlled substance prescribing. 20:48:04:09. Scope and standards of nurse anesthetist practice -- Controlled substance prescribing. Prior to prescribing any controlled substances listed in SDCL chapter 34-20B…

Rule 20:48:04:10 Scope and standards of nurse anesthetist practice -- Use and supervision of radiography. 20:48:04:10. Scope and standards of nurse anesthetist practice -- Use and supervision of radiography. A nurse anesthetist may order, interpret, and supervise radiographic pro…

Rule 20:48:04:11 Scope and standards of nurse anesthetist practice -- Procedures for pain management. 20:48:04:11. Scope and standards of nurse anesthetist practice -- Procedures for pain management. Pain management procedures may include the use of medications, regional anesthet…

20:48:04.01:01. General criteria for delegation. A licensed registered nurse is responsible for the nature and quality of nursing care that a client receives under the nurse's direction. A licensed nurse may delegate selected nursing tasks to a nursing assistant. A nursing assist…

20:48:04.01:02. Supervision. The licensed nurse shall supervise all nursing tasks delegated to a nursing assistant in accordance with the following conditions: (1) The licensed nurse determines the degree of supervision required after considering: (a) The stability of the client'…

Rule 20:48:04.01:03 Repealed. 20:48:04.01:03. Definition of assistance with self-administration of medications.Repealed. Source: 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.

Rule 20:48:04.01:04 Repealed. 20:48:04.01:04. Nursing tasks that may routinely be delegated.Repealed. Source: 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.

Rule 20:48:04.01:05 Repealed. 20:48:04.01:05. Criteria for the delegation of nursing tasks that may not be routinely delegated.Repealed. Source: 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.

Rule 20:48:04.01:06 Repealed. 20:48:04.01:06. Nursing tasks that may not be routinely delegated.Repealed. Source: 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.

20:48:04.01:07. Nursing tasks that may not be delegated. A licensed nurse may not delegate to a nursing assistant: (1) Assessments that require professional nursing judgment, intervention, referral, or follow-up; (2) Formulation of the plan of nursing care and evaluation of the c…

Rule 20:48:04.01:08 Repealed. 20:48:04.01:08. Client education.Repealed. Source: 21 SDR 13, effective August 7, 1994; repealed, 26 SDR 174, effective July 4, 2000.

20:48:04.01:09. Requirements for delegated medication administration to a nursing assistant. A licensed nurse may delegate the administration of medications authorized under §§ 20:48:04.01:09.01 and 20:48:04.01:11, inclusive, to a nursing assistant who: (1) Has a minimum of a hig…

20:48:04.01:09.01. Delegation of medication administration tasks to a nursing assistant. A licensed nurse may delegate the following medication administration tasks to a nursing assistant if the delegation complies with the general criteria for delegation and supervision set fort…

20:48:04.01:10. Delegation of additional medication administration tasks to a medical assistant. In addition to the tasks listed in § 20:48:04.01:09.01, a licensed nurse may delegate the following medication administration tasks to a medical assistant, who holds current certifica…

20:48:04.01:11. Medication administration tasks that require a written protocol. A registered nurse must develop, and maintain on file, a written protocol that includes specific medication administration instructions and training requirements, before delegating the following medi…

20:48:04.01:12. Medication administration tasks that may not be delegated. A licensed nurse may not delegate the following tasks of medication administration: (1) Administration of schedule II controlled substances listed in SDCL 34-20B-16 and 34-20B-17 from a locked stock supply…

20:48:04.01:13. Approval of training program required for delegated medication administration. Medication administration as outlined in § 20:48:04.01:09.01 to 20:48:04.01:11, inclusive, may be delegated to individuals who have successfully completed a training program approved by…

20:48:04.01:14. Requirements for approval of medication administration training programs. An institution or individual must submit an application for a training program for delegated medication administration for approval to the board. The board shall grant approval to an applica…

20:48:04.01:14.01. Standards for medication administration training programs. An individual or institution approved by the board to offer a medication administration training program must ensure the training program meets the following standards: (1) Maintains a faculty-to-studen…

20:48:04.01:15. Medication administration curriculum. The training curriculum for delegated medication administration must include: (1) General information relevant to the administration of medications, including: (a) Governmental regulations related to the practice of nursing, t…

20:48:04.01:16. Written protocol required for the delegation of insulin administration by the subcutaneous route to a nursing assistant. Before a registered nurse may delegate insulin administration by the subcutaneous route to a nursing assistant, the registered nurse must devel…

20:48:04.01:17. Qualifications of the registered nurse for delegation of insulin administration by the subcutaneous route to a nursing assistant. A registered nurse must meet the following qualifications to delegate insulin administration by the subcutaneous route to a nursing as…