Current through Vol. 42, No. 1, September 16, 2024
(a)
Task
assignments. Approved training programs and facilities, centers and
homes shall ensure that a task selected, taught and assigned to certified
medication aides meets the minimum requirements of this chapter.
(b)
Limitations. A certified
medication aide shall not:
(1) Administer
medication that requires assessment unless a registered nurse is available to
perform the assessment within the required time;
(2) Perform oral, nasal or tracheal
suctioning;
(3) Apply topical wound
care medications that involve decubitus treatment ordered by the attending
physician;
(4) Act as preceptor for
a medication aide in training;
(5)
Administer PRN medication without a documented assessment unless authorization
is obtained from a licensed nurse on duty or on call, and unless fully
documented by the certified medication aide;
(6) Perform blood glucose testing unless the
CMA has completed a Department-approved advanced training program and has
demonstrated competency for care of diabetes;
(7) Administer insulin unless the CMA has
successfully completed a Department-approved advanced training program and
competency and skills examination, and unless a physician or licensed nurse is
on-site if the individual:
(A) Is newly
diagnosed with diabetes;
(B)
Requires insulin administration based on blood glucose levels and does not have
clear physician orders for variable or sliding scale insulin; or
(C) Has unstable diabetes; or
(8) Administer medications or
nutrition via nasogastric or gastrostomy tubes, or administer oral metered dose
inhalers or nebulizers, unless the CMA has completed a Department-approved
advanced training program and has demonstrated competency for such services;
or
(9) Take or note physician
orders.
(c)
Skills
review. The facility, center or home shall validate certified medication
aide skills before the certified medication aide performs medication
administration. The certified medication aides' skills shall be reviewed
annually for performance competency.
(d)
Functions. The functions of
the certified medication aide are:
(1)
Knowing the resident, including:
(A)
Reviewing the resident's plan of care; and
(B) Recognizing normal and abnormal
conditions for the specific resident;
(2) Collection and documentation of
data;
(3) Identifying a change in
condition;
(4) Reporting to the
licensed nurse and/or physician;
(5) Contacting emergency medical
services;
(6) Receiving
facility-specific training and orientation from the facility's licensed
nurse;
(7) Demonstrating competency
and proficiency to the facility's licensed nurse; and
(8) Receiving delegated tasks from the
facility licensed nurse, and performing based upon such delegation.
Added at 23 Ok Reg 559,
eff 12-22-05 (emergency); Added at 23 Ok Reg 2422, eff
6-25-06
