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RN authority with COVID-19 CLIA-waived tests in school settings

The COVID-19 Public Health Emergency declaration ended on May 11, 2023.

However, COVID-19 continues to pose a credible risk of a future public health emergency.

Administering CLIA-waived COVID-19 tests in schools

Registered Nurses (RNs) may still administer Clinical Laboratory Improvement Amendments (CLIA)-waived tests in school settings.

  • RNs may administer tests that don’t puncture skin without an order from a health care provider.
  • RNs should refer to the test instructions, or the FDA website, to confirm if a test is CLIA-waived.

See our RN Commonly Asked Questions, under Infusion Therapy, Phlebotomy, and Laboratory Tests for more information.

Delegating COVID-19 rapid tests to unlicensed personnel in schools

  • School RNs have the authority to delegate routine and non-complex nursing tasks.
    • This includes administering CLIA-waived COVID-19 tests.
  • RNs can delegate these tasks to unlicensed assistive personnel (UAP) employees of k-12 public or private schools.

More guidance:

PREP Act liability immunities extended through end of 2024

The PREP Act liability immunities, including testing for COVID-19, has been extended through December 31, 2024.

NCQAC full statement