What circumstances would be considered unsafe for the registered nurse in a school setting to delegate to non-credentialed assistive personnel asthma-related tasks?

The following would be considered unsafe situations in which to delegate to non-credentialed assistive personnel asthma-related tasks in the kindergarten through twelve grade, public and private school setting (RCW 28A.210 Common School Provisions: Health-Screening and Requirements):

• Newly diagnosed students with moderate to severe asthma, and the health care plan has not been written or approved;
• Medically fragile student with health complications or multiple health problems that require nursing assessments before performing any authorized task;
• Student with a history of non-compliance with treatment plans;
• Student who has been authorized to function independently by the health care provider, but cannot consistently demonstrate competence in asthma-related tasks in the school setting. These students should be referred back to the health care provider for further evaluation before delegating care to non-credentialed assistive personnel.