Current through all regulations passed and filed through September 16, 2024
(A) The approved
curriculum for a training program for certified medication aides shall be the
standard minimum curriculum set forth in paragraph (C) of this rule, and shall
include all of the following:
(1) Program
objectives and outcomes, course objectives or outcomes, teaching strategies,
and core competencies or other evaluation methods that are:
(a) Consistent with the law and rules
applicable to certified medication aides, as set forth in Chapter 4723. of the
Revised Code and this chapter;
(b)
Internally consistent;
(c)
Implemented as written; and
(d)
Made available to students in medication aide training programs;
(2) A curriculum plan showing the
sequence of courses, laboratory experiences, and the number of clock hours
allotted to instruction and laboratory experience related to medication
administration;
(3) A curriculum
content that is a minimum of eighty clock hours of didactic classroom,
including laboratory experience, allocated as specified in paragraph (C) of
this rule, and an additional forty clock hours of supervised clinical
practice;
(4) For purposes of
paragraph (A)(3) of this rule:
(a) During the
didactic and laboratory component, students and instructors must be present in
the same location, and the instruction must be provided in person rather than
exclusively by means of video, audio, computer, multimedia, or electronic
communications;
(b) Students must
satisfactorily complete the didactic and laboratory component prior to
participating in the supervised clinical component of the certified medication
aide training program.
(B) A medication aide training program and
board approved medication aide examination shall be structured in the following
manner:
(1) A class of students shall complete
the program in no fewer than twenty business days and no more than ninety
business days;
(2) Within sixty days of satisfactorily
completing the required classroom and supervised clinical practice components,
the student shall take a board approved examination;
(3) The examination shall evaluate whether
the student's reading, mathematical skills, and knowledge of the standard
minimum curriculum are sufficient to administer prescription medications
safely;
(4) A student who fails the
examination may take the examination a second time within the six-month period
immediately following notification of the examination results to the student
and the training program;
(5) A
student who fails the examination a second time must enroll or re-enroll, and
satisfactorily complete, a board approved training program in order to be
eligible to take the examination again.
(C) The standard minimum curriculum for
certified medication aides shall include courses, content, and expected
outcomes, relative to the defined role of the certified medication aide, in the
following areas with the minimum number of course hours specified:
(1) Communication and interpersonal skills,
four hours;
(2) Resident rights
related to medication administration, including the right of a resident to
refuse medications, one hour;
(3)
The six rights of medication administration, three hours, including:
(a) The right person;
(b) The right drug;
(c) The right dose;
(d) The right time;
(e) The right route; and
(f) The right documentation.
(4) Drug terminology, storage and
disposal, four hours, including:
(a) Medical
terminology, symbols, accepted abbreviations;
(b) Dosage measurement;
(c) Reference resources;
(d) Principles of safe medication storage and
disposal;
(5)
Fundamentals of the following body systems, twenty hours, including:
(a) Gastrointestinal;
(b) Musculoskeletal;
(c) Nervous and sensory;
(d) Urinary/renal;
(e) Cardiovascular;
(f) Respiratory;
(g) Endocrine;
(h) Male and female reproductive;
and
(i) Integumentary and mucous
membranes;
(6) Basic
pharmacology, drug classifications and medications affecting body systems,
twelve hours, including:
(a) Purposes of
various medications;
(b) Schedule
III, IV, and V controlled substances;
(7) Safe administration of medications,
twenty hours, including:
(a) Oral
medications;
(b) Topical
medications;
(c) Eye, ear, and nose
medications;
(d) Vaginal
medications;
(e) Rectal
medications;
(f) Oral
inhalants;
(g) Transdermal
medications;
(h) Proper resident
positioning;
(i) Measurement of
apical pulse and blood pressure in association with routine medication
administration;
(8)
Principles of standard precautions including those set forth in Chapter 4723-20
of the Administrative Code, two hours;
(9) Documentation of medications in
residents' clinical records, including as-needed medications, two
hours;
(10) Circumstances in which
a certified medication aide should report to, or consult with, a nurse
concerning a resident or residents to whom medications are administered, four
hours, including:
(a) The potential need of a
resident for the administration of an as-needed medication, as evidenced by a
resident's expression of discomfort or other indication;
(b) A resident exercising the right to refuse
medication administration;
(c) Any
deviation from the delegation of medication administration
instructions;
(d) Any observation
about the condition of a resident that should cause concern to a certified
medication aide.
(11)
Medication errors, four hours, including:
(a)
Error prevention through promotion of safe medication administration
practices;
(b) Timeliness and
manner of reporting medication errors;
(12) The role of the certified medication
aide as set forth in Chapter 4723. of the Revised Code and this chapter, four
hours, including:
(a) The fact that
administration of medication is a nursing function that may only be performed
by a certified medication aide when it has been delegated by a nurse in
accordance with the provisions of this chapter;
(b) The settings in which medications may be
administered by certified medication aides;
(c) The types of medications that may be
administered by certified medication aides as well as those that a certified
medication aide may not administer; and
(d) The activities associated with the
administration of medications that are prohibited for a certified medication
aide.
(D) The
supervised clinical practice component of an approved medication aide training
program shall be sufficient to assure that students are prepared to administer
medications as a certified medication aide in a safe and effective manner, and
shall satisfy the following:
(1) The
supervised clinical practice component shall consist of not less than forty
clock hours, including experience in tasks related to the administration of
medication, and shall be conducted under the direction and supervision of a
nurse.
(2) The supervised clinical
practice component shall take place in a nursing home or residential care
facility with which the training program has a written agreement to provide
nurse supervision of the student in accordance with this rule;
(3) While engaged in medication
administration, a student shall be under the one-on-one direction and
supervision of a nurse.
(4) During
the supervised clinical practice, the nurse supervising the medication aide
student shall inform the registered nurse program administrator of the
student's progress in the supervised clinical practice.
(E)
The training program shall assure that a
medication skills checklist is maintained for each student to record
performance during the supervised clinical practice and shall include the
following:
(1) Each skill necessary to safely
administer medications in accordance with this chapter;
(2) The date each skill is successfully
demonstrated, or an indication that the student did not have an opportunity to
perform the skill in a supervised clinical setting;
(3) The name and signature of the nurse who
supervised the student's successful performance of the skill.
(F)
The training
program shall provide a copy of the medication skills checklist, certified by
the program to be true and accurate, to each student upon completion of the
medication aide training program.
(G)
If a student did not have an opportunity to
perform a skill listed on the medication skills checklist during the supervised
clinical component of the training program the student shall comply with all of
the following:
(1) Upon employment as a
certified medication aide, provide the employer with a certified copy of the
medication skills checklist;
(2)
Refrain from performing any unchecked medication skill as a certified
medication aide without direct nurse supervision until a nurse has observed
satisfactory performance of the skill; and
(3) Obtain the signature of the nurse who
observed satisfactory performance of the skill by the certified medication aide
on the date indicated on the medication skills checklist.
Five Year Review (FYR) Dates:
12/19/2016 and
12/19/2021
Promulgated
Under: 119.03
Statutory Authority: 4723.69
Rule
Amplifies: 4723.61, 4723.64, 4723.65, 4723.651, 4723.652, 4723.653, 4723.66,
4723.67, 4723.68, 4723.69
Prior Effective Dates: 2/1/06 (Emer.),
5/1/06, 2/1/12, 2/1/13, 2/1/14
