{"id":483,"date":"2025-02-25T16:23:44","date_gmt":"2025-02-25T16:23:44","guid":{"rendered":"https:\/\/www-test.dhss.delaware.gov\/ddds\/nursing_forms\/"},"modified":"2025-02-26T07:22:57","modified_gmt":"2025-02-26T12:22:57","slug":"nursing_forms","status":"publish","type":"page","link":"https:\/\/www-test.dhss.delaware.gov\/ddds\/nursing_forms\/","title":{"rendered":"nursing_forms ~  DDDS Nursing Forms  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n\r\n\r\n\r\n\r\n\r\n  <br>\r\n\r\n\r\n  \r\n\r\n\r\n  <div class=\"container\" id=\"main_header\">\r\n\r\n\r\n     <!-- BEGIN readspeaker div -->\r\n\r\n\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\n\r\n\r\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/ddds\/nursing_forms.html\" title=\"Listen to this page using ReadSpeaker\">\r\n\r\n\r\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n\r\n\r\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n\r\n\r\n      <\/a>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n    <!-- END readspeaker div -->\r\n\r\n\r\n\r\n\r\n\r\n    \r\n\r\n\r\n    <header class=\"pull-left\">\r\n\r\n\r\n      <h1><!--[type=EDIT name=\"Page Title\"]-->DDDS Nursing<!--[END]--><\/h1>\r\n\r\n\r\n    <\/header>\r\n\r\n\r\n   <\/div><br>\r\n\r\n\r\n \r\n\r\n\r\n  <div class=\"container\">\r\n\r\n\r\n    <div class=\"row\">\r\n\r\n\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n\r\n\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n\r\n\r\n          <div class=\"panel sectionmenu_panel\">\r\n\r\n\r\n            <div class=\"panel-heading\">\r\n\r\n\r\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Developmental Disabilities Menu<\/strong><\/a><\/p>\r\n\r\n\r\n            <\/div>\r\n\r\n\r\n\r\n\r\n\r\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\r\n\r\n\r\n              <div class=\"panel-body\" id=\"clf_nav\">\r\n\r\n\r\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\r\n    <li><a href=\"\/ddds\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\r\n    <li>\r\n      <a href=\"\/ddds\/about.html\">About DDDS<\/a>\r\n    <\/li>\r\n      <li>\r\n      <a href=\"\/ddds\/contact.html\">Contact<\/a>\r\n    <\/li>\r\n      <li>\r\n        <a href=\"\/ddds\/dac.html\">DDDS Advisory Council<\/a>\r\n      <\/li>\r\n    <li>\r\n      <a href=\"\/ddds\/newandmedia.html\">News &#038; Media<\/a>\r\n    <\/li>\r\n      <li>\r\n        <a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/DDDS_orgchart.pdf\">Organizational Chart<\/a>\r\n    <\/li>\r\n  <\/ul><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">  \r\n    <li>\r\n      <a href=\"\/ddds\/intake.html\">Apply for Services<\/a>\r\n    <\/li>\r\n      <li>\r\n      <a href=\"\/ddds\/authproviders.html\">Authorized Providers<\/a>\r\n    <\/li>\r\n      \r\n    <li>\r\n      <a href=\"\/ddds\/comserv.html\">Home and Community Based Services (HCBS)<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/ddds\/fss.html\">Individuals and Families<\/a>\r\n    <\/li>\r\n        <li>\r\n      <a href=\"\/ddds\/information.html\">Information and Resources<\/a>\r\n    <\/li>\r\n        <li>\r\n          <a href=\"\/ddds\/emp_first.html\">Pathways to Employment<\/a>\r\n    <\/li>\r\n      \r\n    <li>\r\n      <a href=\"\/ddds\/adt_spec_pop_prg.html\">Respite<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/ddds\/stockley.html\">Stockley Center<\/a>\r\n    <\/li>\r\n  \r\n  <\/ul><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\r\n    <li>\r\n      <a href=\"\/ddds\/comedadv.html\">Community Education and Advocacy<\/a>\r\n    <\/li>\r\n           \r\n      \r\n         <li>\r\n      <a href=\"https:\/\/m.facebook.com\/DelawareDDDS\/\">DDDS Facebook Page<\/a>\r\n    <\/li>\r\n   \r\n\r\n    <li>\r\n      <a href=\"\/ddds\/forms.html\">Forms<\/a>\r\n    <\/li>\r\n      \r\n       <li>\r\n      <a href=\"\/ddds\/dsp.html\">For Direct Support Professionals<\/a>\r\n    <\/li>\r\n        <li>\r\n      <a href=\"\/ddds\/providercontract.html\">For Providers<\/a>\r\n    <\/li>\r\n      \r\n        <li>\r\n      <a href=\"\/ddds\/nursing_forms.html\">Nursing<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/ddds\/pubs.html\">Publications<\/a>\r\n    <\/li>\r\n   <li>\r\n      <a href=\"https:\/\/hssdedhssprod.wellsky.com\/assessments\/?WebIntake=9A2787C9-BDCF-449A-BFD7-59B32DD77BE7\">Report Abuse<\/a>\r\n    <\/li>\r\n   \r\n    <li>\r\n      <a href=\"\/ddds\/repstats.html\">Reports and Statistics<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/ddds\/training.html\">Training<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/ddds\/volservices.html\">Volunteer<\/a>\r\n    <\/li>\r\n  \r\n  <\/ul><\/li>\r\n <!--   <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\r\n  <ul id=\"SocialMenu\">\r\n    <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" title=\"Division of Public Health Facebook Page\" target=\"_blank\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\r\n    <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" title=\"Delaware Health and Social Services Twitter Account\" target=\"_blank\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\r\n   <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\r\n    <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\r\n    <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\r\n    <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\r\n    <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\r\n    <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li>\r\n  <\/ul>\r\n<\/li>  -->\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n              <\/div>\r\n\r\n\r\n            <\/div>\r\n\r\n\r\n          <\/div>\r\n\r\n\r\n        <\/div><br>\r\n\r\n\r\n      <\/div>\r\n\r\n\r\n\r\n\r\n\r\n      <div class=\"col-md-9\" id=\"main_content\"> \r\n\r\n\r\n  <!--[type=HTMLEDIT name=\"Content\"]-->\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n  Listed below are some of the most common forms and protocols used by Nurses working with and for the DDDS. Please be advised that you may\r\n\r\n\r\n\r\n  not alter these forms in any way except by approval of the DDDS. If you are a Nurse employed by a contracting agency, your agency may\r\n\r\n\r\n\r\n  require you to use additional forms.\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<button class=\"collapsible\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#c1\" aria-expanded=\"false\" aria-controls=\"c1\">Forms<\/button>\r\n\r\n\r\n\r\n<div class=\"collapse\" id=\"c1\">\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/toolaims.pdf\">AIMS<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/AspirationChokingScreeningTool_2023.03.01.pdf\">Aspiration-Choking Screening Tool (March 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/CET_ContinuousDiscontinuousFeeding_2023.01.01.pdf\">Competency Evaluation Tool &#8211; Enteral Tube Continuous Feeding, Discontinuation of Feeding and Flush (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/CET_EnteralTubeGravityFeeding_2023.01.01.pdf\">Competency Evaluation Tool &#8211; Enteral Tube Gravity Feeding (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/CET_EnteralTubeMedAdministrationSLP_NonNurse_2023.01.01.pdf\">Competency Evaluation Tool &#8211; Enteral Tube Medication Administration for Shared Living Providers Non-Nurses ONLY (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/CET_EnteralTubeWaterFlushes_2023.01.01.pdf\">Competency Evaluation Tool &#8211; Enteral Tube Water Flushes\/Hydration (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/CET_GeneralKnowledgeEnteralTubes_2023.01.01.pdf\">Competency Evaluation Tool &#8211; General Knowledge of Enteral Tubes (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/CAIR.pdf\">CAIR<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/controlledsubstance_2023.11.01.pdf\">Controlled Substance Count Sheet (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/DailyWeeklyMedHealthReviewForm_2023.11.01.pdf\">Daily\/Weekly Medication &#038; Health Review Form (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/DAIR_2023.11.01.pdf\">Dental Appointment Information Record (DAIR) (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/Diet_Order_Form_2023.11.01.pdf\">Diet Order Form (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/EnterostomyTubeInfoSLP_NonNurses_2023.01.01.pdf\">Enterostomy Tube Information Form for Shared Living Providers Non-Nurses ONLY (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/FallRiskScreeningTool_2022.08.01.pdf\">Fall Risk Screening Tool (August 2022)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/Hospital_Discharge_Worksheet_2023.11.01.pdf\">Hospital Discharge Worksheet (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/immunization.pdf\">Immunization Record<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/Med_Alert_form_2022.08.05.pdf\">Medical Alert Form<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/MAIR_2023.11.01.pdf\">Medical Appointment Information Record (MAIR) (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/medicationcount.pdf\">Medication Count Sheet<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/MedicationDeviceAssessmentForm_SharedLiving_20240913.pdf\">Medication Device Assessment Form &#8211; Shared Living<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/MedicationDeviceDataForm_SharedLiving_20240913.pdf\">Medication Device Data Form &#8211; Shared Living<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/llammedicationformloa_2023.11.01.pdf\">Medication Form for Leave\/Vacation (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/noncontrolledmedicationcount_2023.11.01.pdf\">Non-Controlled Medication Count Form (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/doc\/NurseConsultationExceptionRateRequestForm_2023.11.01.docx\">Nurse Consultation Exception Rate Request Form (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/NursingEnteralTubeForm_2023.01.01.pdf\">Nursing Enteral Tube Form (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/NutritionReferral_2023.01.01.pdf\">Nutrition Referral (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/overthecountermedorderform_2023.11.01.pdf\">Over the Counter Medication Form (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/annualphysicalform09182020.pdf\">Physical Examination Form<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/PAIR10152020.pdf\">Psychiatric Appointment Information Record (PAIR)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/RoutineAdultImmunDeclineForm_2023.03.01.pdf\">Routine Adult Immunization Declination Form (March 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SeizureRescueMedOrderForm_2022.10.01.pdf\">Seizure Rescue Medication Order Form (October 2022)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_MedApprovalForm_2023.01.01.pdf\">Self Administration of Medication Approval Form (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_MedicationApprovalForm_SharedLiving_20240913.pdf\">Self Administration of Medication Approval Form &#8211; Shared Living (September 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_MedAssessForm_2023.01.01.pdf\">Self Administration of Medication Assessment Form (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_MedicationAssessmentForm_SharedLiving_20240913.pdf\">Self Administration of Medication Assessment Form &#8211; Shared Living (September 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_MedDataForm_2023.01.01.pdf\">Self Administration of Medication Data Sheets (January 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_MedicationDataForm_SharedLiving_20240913.pdf\">Self Administration of Medication Data Form &#8211; Shared Living (September 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/Medication_Device_Approval_Form_July2024.pdf\">Self Administration of Medication Using a Medication Administration Device Approval Form (July 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/Medication_Device_Assessmentl_Form_July2024.pdf\">Self Administration of Medication Using a Medication Administration Device Assessment Form (July 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/TPCRNCHECKLIST_2023.11.01.pdf\">Transfer Planning Conference (TPC) RN Checklist (November 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<\/div>\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<button class=\"collapsible\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#c2\" aria-expanded=\"false\" aria-controls=\"c2\">Protocols<\/button>\r\n\r\n\r\n\r\n<div class=\"collapse\" id=\"c2\">\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/AspirationChoking_Protocol1.pdf\">Aspiration and Choking Healthcare Protocol #1<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/EnterostomyTubeMgmt_Protocol2.pdf\">Enterostomy Tube Management Healthcare Protocol #2<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/FallMgmt_Protocol3.pdf\">Fall Management Healthcare Protocol #3<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/NutritionMgmt_Protocol4.pdf\">Nutrition Management Healthcare Protocol #4<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_Medication_Protocol5_20240715.pdf\">Self Administration of Medication Healthcare Protocol #5<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SelfAdmin_Medication_SLP_Protocol5a_20241028.pdf\">Self Administration of Medication &#8211; SLP Healthcare Protocol #5a<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/MedicationAdministrationDevices_Protocol6.pdf\">Medication Administration Devices Healthcare Protocol #6<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/MedicationAdministrationDevices_SLP_Protocol6a_20241028.pdf\">Medication Administration Devices &#8211; SLP Healthcare Protocol #6a<\/a><\/p>\r\n\r\n\r\n\r\n<\/div>\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<button class=\"collapsible\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#c3\" aria-expanded=\"false\" aria-controls=\"c3\">Manuals<\/button>\r\n\r\n\r\n\r\n<div class=\"collapse\" id=\"c3\">\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/NurseConsultationResourceGuide20240701.pdf\">Nurse Consultation Resource Manual (July 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<\/div>\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<button class=\"collapsible\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#c4\" aria-expanded=\"false\" aria-controls=\"c4\">SLMA (Shared Living Medication Administration)<\/button>\r\n\r\n\r\n\r\n<div class=\"collapse\" id=\"c4\">\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SLMA_MonthlyMedicationAndTubeFeedingRecord_2024Oct.pdf\">Shared Living Monthly Medication and Tube Feeding Record (October 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/SLMA_SupervisedMedicationPassObservationForm_2024Oct.pdf\">Shared Living Supervised Medication Pass Observation Form (October 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<\/div>\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<button class=\"collapsible\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#c5\" aria-expanded=\"false\" aria-controls=\"c5\">LLAM (Limited Lay Administration of Medication)<\/button>\r\n\r\n\r\n\r\n<div class=\"collapse\" id=\"c5\">\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/BON_LLAM_Definitions.pdf\">DE Board of Nursing LLAM Definitions<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/BON_LLAM_FAQs_Nov2022.pdf\">DE Board of Nursing LLAM FAQs (Nov 2022)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/BON_LLAM_Policy_and_Procedures_May2020.pdf\">DE Board of Nursing LLAM Policy and Procedures (May 2020)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/BON_LLAM_MedicationTrainingCourseManual_for_Instructors_May2019.pdf\">DE Board of Nursing LLAM Training Course Manual for Instructors (May 2019)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/LLAM_Guidelines_2023.12.01.pdf\">LLAM Guidelines<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/DDDS_LLAM_Module_for_Instructors_20240701.pdf\">LLAM DDDS Module for Instructors (July 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/ClarificationOfHealthcareProviderOrdersGuidance_20241028.pdf\">DDDS Clarification of Healthcare Provider Orders Guidance (October 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/MedicationErrorsDefinitionGuidance20240701.pdf\">DDDS Medication Error Definitions Guidance (July 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/LLAM_PPT_TableOfContents.pdf\">LLAM Powerpoint Table of Contents<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/ppt\/LLAM_Initial_PPT_20240701.ppt\">LLAM Initial PPT (July 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/ppt\/LLAMRenewalPPT20240701.ppt\">LLAM Renewal PPT (July 2024)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/LLAM_PreRequisiteChecklist_20230410.pdf\">LLAM Pre-requesite Checklist (April 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<p style=\"padding-left: 25px;\"><a href=\"\/wp-content\/uploads\/sites\/5\/ddds\/pdf\/LLAM_SupervisedFieldMedPassObservationForm_20240410.pdf\">Supervised Field Medication Pass Observation Form (April 2023)<\/a><\/p>\r\n\r\n\r\n\r\n<\/div>\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<p>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n  <!--[END]-->\r\n\r\n\r\n  \r\n\r\n\r\n      <\/div>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n  <\/div><!-- \/container -->\r\n\r\n\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen DDDS Nursing Developmental Disabilities Menu Home About About DDDS Contact DDDS Advisory Council News &#038; Media Organizational Chart Services Apply for Services Authorized Providers Home 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