Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part IX - Developmental Disabilities Services
Chapter 9 - Guidelines for Certification of Medication Attendant
Section IX-911 - Authorized and Prohibited Functions of Certified Medication Attendants
Universal Citation: LA Admin Code IX-911
Current through Register Vol. 50, No. 9, September 20, 2024
A. Authorized functions of the certified medication attendant:
1. deliver medications ordered by a
physician, dentist, or authorized prescriber to individuals for
self-administration verifying with the medication administration record, the
correct individual, dosage, medication name, route, and time;
2. deliver and administer medications ordered
by a physician, dentist, or authorized prescriber to individuals with the
supervision of a registered nurse, as defined in LAC 46:XLVII.3703.A, verifying
with the medication administration record, the correct individual, dosage,
medication name, route, and time;
3. administer oral medications, enemas,
douches, ointments, pre-measured oral inhalant aerosols, and suppositories
unless otherwise indicated;
4.
record in the individuals chart:
a. doses
delivered to and/or administered to the individual;
b. effectiveness of the drug;
c. any adverse effect of the drug;
d. appropriate vital signs as indicated by
the physician order and/or knowledge of the drug; and
e. may transfer prescribed medication
information to a medication administration record (MAR); may transfer
medication information using a pre-printed pharmacy label indicating the
correct individual, dosage, medication name, route, and time;
5. administer prescribed pro re
nata (PRN), or as needed, medications when authorized by a licensed physician,
dentist, authorized prescriber, or registered nurse. The authorizing health
care professional must document the authorization in writing within 24
hours.
B. Prohibited functions of the certified medication attendant:
1. may not give medications by intramuscular,
intravenous, or subcutaneous routes;
NOTE: This does not include finger sticks for routine capillary blood glucose monitoring. The CMA may perform routine capillary blood glucose monitoring for clients who do not require sliding scale insulin. This also does not include epinephrine pen usage for emergency situations.
2. may not administer medications
by the oral inhalant aerosol route unless administering a premeasured dosage
unit provided by the manufacturer;
3. may not receive or assume responsibility
for reducing to writing oral or telephone orders from a physician, dentist, or
authorized prescriber;
4. may not
alter medication dosages as delivered from the pharmacy unless authorized by a
physician, dentist, or authorized prescriber. Alteration of a medication dosage
may include giving more or less than the dosage ordered or crushing, cutting or
diluting without an order to do so by the physician, dentist or authorized
prescriber;
5. may not administer
medications in an acute care setting, including those funded by DHH and/or
operated by the OCDD;
6. may not
administer any medications when there is indication that the medication has
been inappropriately dispensed by the pharmacist or mishandled by other
persons;
7. may not delegate
medication administration to others.
AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1021-1025.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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