Can the registered nurse in the school setting delegate to non-credentialed assistive personnel to assist a student using a peak flow meter to determine the need for inhaled medications for asthma?

It is within the scope of an appropriately trained and competent registered nurse in the kindergarten through twelve grade, public and private school setting (RCW 28A.210 Common School Provisions: Health-Screening and Requirements) to delegate the use of a peak flow meter following the student’s health care plan and the prescribed medication based on peak flow meter readings. The health care plan must include actions to take in case of an emergency situation. The Nursing Care Quality Assurance Commission recommends the registered nurse use the Scope of Practice Decision Tree to determine if an activity is within their scope of practice.