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The school nurse makes careful decisions daily regarding learner safety and health outcomes, as well as the implications of delegating health and nursing services to unlicensed paraprofessionals. The school nurse must be comfortable with the delegatee, and it is just as important to know that the paraprofessional or unlicensed personnel is comfortable in the delegated task. Paraprofessionals and unlicensed personnel who are assisting the school nurse may be asked to complete a first aid certification equipping them with the necessary skills to respond to an emergency or provide first aid for minor non-emergency situations. Also, some paraprofessionals or unlicensed personnel work with medically fragile learners, requiring them to be trained in specific individualized medical procedures and emergency protocols. Paraprofessionals and unlicensed personnel equipped with first aid knowledge and skills have increased confidence in handling the delegated tasks they are consenting to perform within the delegation of the licensed school nurse.