Current through Register Vol. 48, No. 39, March 25, 2024
Subpart
1.
Self-administration of medications; medication
administration; other nursing and physical therapy procedures.
A. A home health aide may perform assistance
with self-administration of medications, medication administration, and other
nursing and physical therapy procedures if delegated the activity by a
registered nurse or physical therapist.
B. "Assistance with self-administration of
medications" means performing a task to enable a hospice patient to
self-administer medication and includes one or more of the following:
(1) bringing the medication to the hospice
patient;
(2) opening a container
containing medications set up by a nurse, physician, or pharmacist;
(3) emptying the contents from the container
into the hospice patient's hand;
(4) giving a medication container with
contents to the hospice patient;
(5) providing liquids or nutrition to
accompany medication that a patient is self-administering; or
(6) documenting the administration of
medication or documenting the reason for not administering the medication as
ordered.
C. "Medication
administration" means performing a task to ensure that a hospice patient takes
a medication and includes one or more of the following:
(1) checking the hospice patient's medication
record;
(2) preparing the
medication for administration;
(3)
administering the medication to the hospice patient; or
(4) documenting after the administration of
medication or documenting the reason for not administering the medication as
ordered.
D. "Medication
reminder" means providing an oral or visual reminder to a hospice patient to
take medication.
E. "Pro re nata
medication" or "p.r.n. medication" means a medication that is ordered to be
administered to or taken by a hospice patient as necessary. The administration
of a p.r.n. medication must be reported to a registered nurse:
(1) within a time period that is specified by
a registered nurse prior to the administration; or
(2) if no time limit is specified, no later
than 24 hours after its administration.
Subp. 2.
Training.
A home health aide performing assistance with
self-administration of medication, medication administration, and other nursing
and physical therapy procedures must:
A. be instructed by a registered nurse or
physical therapist on specific written instructions and proper methods to
perform the procedure;
B. be
instructed by a registered nurse or physical therapist on reporting information
to a registered nurse or physical therapist regarding the hospice patient's
refusal of the procedure, when to report to the registered nurse or physical
therapist, medication side effects, and reasons why the medication was not
administered or not self-administered; and
C. demonstrate to a registered nurse or
physical therapist the home health aide's ability to competently follow the
procedure. The registered nurse or physical therapist shall provide
patient-specific instructions as required under part
4664.0260, subpart 5.
Subp. 3.
Authorization and
limitations on administering medications.
Home health aides may be delegated to perform medication
administration and assistance with self-administration of medications, whether
oral, suppository, eye drops, ear drops, inhalant, topical, or administered
through a gastrostomy tube. A home health aide delegated assistance with
self-administration of medications and medication administration under this
subpart must not be delegated administration of medications by injection,
whether intravenously, intramuscularly, or subcutaneously.
Subp. 4.
Fines.
For a violation of the following subparts, the stated fine
shall be assessed:
A. subpart
1, $350;
B. subpart
2, $300; and
C. subpart
3, $350.