Melissa Magstadt, South Dakota Secretary of Health

Diabetes Aide


Delegation of Diabetes tasks by a RN:

When a licensed nurse is not available, an RN, who has met the requirments listed in ARSD 20:48:04.01:17, may delegate diabetes tasks to a nursing assistant, including the administration of subcutaneous (SQ) insulin.  
Delegated tasks may include:
  • Helping a person with an insulin pump or with an insulin pen device;
  • Administering SQ insulin from a vial and syringe or with an insulin pen device;  
  • Assisting a person with counting carbohydrates; 
  • Performing blood glucose monitoring.
Nurses are required to follow rules on: 
Nurses and employers are encouraged to use the Delegation Decision Making Algorithm to guide whether a specific nursing task may be delegated.

Prior to an RN delegating diabetes tasks:

A Nursing Assistant must:
  • Complete the 10-hour diabetes aide training course taught by an RN instructor, as described below;  
  • Pass a final exam, administered by the RN instructor;
  • Pass a skills competency checklist.
A Delegating RN must:
  • Have on file a written protocol that includes the requirements listed in ARSD 20:48:04.01:16;
  • Complete the BON's online RN Train-the-Trainer Course;
  • Teach or ensure that the 10-hour diabetes aide training course has been completed by the Nursing Assistant.  The 10-hour course must consist of: 
    • 5-hours of theoretical instruction on the diabetes topics listed in ARSD 20:48:04.01:16(1)
    • 5-hours of clinical/lab instruction that includes an evaluation of the Nursing Assistant's competency to perform the diabetes tasks using the Board's approved Diabetes Aide Competency Checklist;
    • The administration of a final exam. 
      • The RN instructor may contact the Board to request access to questions for use in developing a final exam.
  • Annually, revalidate the Diabetes Aide's competency using the Board's approved Diabetes Aide Competency Checklist.
Documentation of training should be maintained by the employer or RN. 

*Diabetes aides employed in Assisted Living Centers are required to be registered as a Medication Aide.