Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE
Chapter 95 - ADMINISTRATION OF MEDICATIONS BY MEDICATION AIDES AND MEDICATION STAFF
Section 172-95-005 - PROVISION OF DIRECTION AND MONITORING

Universal Citation: 172 NE Admin Rules and Regs ch 95 ยง 005

Current through September 17, 2024

Medications may be provided by medication aides and medication staff only when direction and monitoring is provided and documented.

005.01 DIRECTION AND MONITORING. Direction and monitoring must be provided by 1 of the following:

(A) A competent recipient;

(B) A caretaker; or

(C) A licensed health care professional. A licensed health care professional who provides direction and monitoring must do so within the prevailing practice standards of the profession. Licensed Practical Nurses must do so under direction and in accordance with the Nurse Practice Act.

005.02 MAY NOT PROVIDE DIRECTION AND MONITORING. A medication aide or medication staff may not provide direction and monitoring but may participate in observing and reporting as provided in 172 NAC 95- 7.

005.03 DIRECTION AND MONITORING ACCEPTANCE BY COMPETENT RECIPIENTS. Acceptance of responsibility for direction and monitoring for a competent recipient may be provided by the recipient themselves, a caretaker, or a licensed health care professional.

005.04 DIRECTION AND MONITORING ACCEPTANCE FOR NON-COMPETENT RECIPIENTS. Acceptance of responsibility for direction and monitoring for recipients who are not competent may be provided by a caretaker or a licensed health care professional.

005.05 DIRECTION AND MONITORING ACCEPTANCE FOR NON-COMPETENT RECIPIENTS AND RECIPIENTS WITH NO CARETAKERS. For recipients who are not competent and for whom there are no caretakers, acceptance of responsibility for direction and monitoring must be provided by a licensed health care professional. Documentation may be accomplished by any of the following methods:

(A) When licensed health care professionals are employees, entities may identify on an individual basis or by title and job description or role delineation the licensed health care professional or the classifications of licensed health care professionals who are responsible to provide direction and monitoring. Written acceptance of responsibility is not required to be recipient-specific and can be through acceptance of title and job description or role delineation;

(B) When licensed health care professionals are not employees, entities must identify the licensed health care professional who is designated to provide direction and monitoring by name, profession, and license number. Written acceptance of responsibility must be recipient-specific; or

(C) A licensed health care professional who provides direction and monitoring directly to a recipient, rather than indirectly through employment by a facility or other entity, must have a documented professional relationship with the recipient, or with a responsible party on behalf of the recipient. The documentation must include the health care professional's acceptance of the responsibility for direction and monitoring.

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