Current through Register Vol. 63, No. 9, September 1, 2024
(1) Under
supervision by a licensed nurse, a CMA may administer:
(a) Oral, sublingual and buccal
medications;
(b) Eye medications
with the exception of eye medications to new post-operative eye
clients;
(c) Ear
medications;
(d) Nasal
medications;
(e) Rectal
medications;
(f) Vaginal
medications;
(g) Skin ointments,
topical medications including patches and transdermal medications;
(h) Medications by gastrostomy and
jejunostomy tubes;
(i) Premeasured
medication delivered by Aerosol/Nebulizer; and
(j) Medications delivered by metered
hand-held inhalers.
(2)
Administration of PRN Medications. A CMA may administer PRN medications
(including controlled substances) to stable clients according to physician's or
nurse practitioner's orders in the following circumstances:
(a) In response to specific client requests:
(A) Client request must be reported to
licensed nurse; and
(B) Client
response must be reported to licensed nurse.
(b) At the direction of the licensed nurse,
when:
(A) A licensed nurse assesses the
patient prior to administration of the PRN medications; and
(B) A licensed nurse assesses the patient
following the administration of the PRN medication.
(3) A CMA may:
(a) Administer regularly scheduled controlled
substances;
(b) Jointly witness
wasted controlled substances with a licensed nurse;
(c) Count controlled substances with a
licensed nurse or another CMA;
(d)
Perform capillary blood glucose (CBG);
(e) Turn oxygen on and off at predetermined,
established flow rate;
(f) Add
fluid to established jejunostomy or gastrostomy tube feedings and change
established tube feeding bags; and
(g) Accept verbal or telephone orders for
medication from a licensed health care professional who is authorized to
independently diagnose and treat. Such acceptance can occur only when the CMA
is working in the following settings under the specified administrative rules:
(A) Adult Foster Homes, as permitted under
OAR Chapter 411, division 050;
(B)
Residential Care Facilities, as permitted under OAR Chapter 411, division 054;
and
(C) Assisted Living Facilities,
as permitted under OAR Chapter 411, division 054.
(4) A CMA may not administer
medications by the following routes:
(a)
Central lines;
(b)
Colostomy;
(c)
Intramuscular;
(d)
Intrathecal;
(e)
Intravenous;
(f)
Nasogastric;
(g) Nonmetered
inhaler;
(h)
Subcutaneous;
(i)
Intradermal;
(j)
Urethral;
(k) Epidural;
or
(l) Endotracheal.
(5) A CMA may not administer the
following kinds of medications:
(a) Barium and
other diagnostic contrast media; or
(b) Chemotherapeutic agents except oral
maintenance chemotherapy.
(6) A CMA may not administer medication by,
nor assume responsibility for, medication pumps, including client controlled
analgesia.
(7) A CMA may not act as
a clinical teaching associate to a student in a medication aide education
program.
(8) In a community-based
care setting, a CMA may, as an unlicensed person, provide care as delegated or
assigned by a licensed nurse.
(9)
Standards of Care for a certified medication assistant. In the process of
client care a CMA shall consistently apply standards set for CNAs and:
(a) Establish competency as a CMA;
(b) Maintain competency as a CMA;
(c) Perform within Authorized
Duties;
(d) Follow written
instructions of an individual authorized by law to independently diagnose and
treat as transcribed in the medication administration record (MAR);
and
(e) Accurately record on the
MAR medications administered, medications withheld or refused and the reason
why a medication was withheld or refused.
Statutory/Other Authority: ORS
678.440, ORS
678.442, ORS
678.444 & ORS
678.445
Statutes/Other Implemented: ORS
678.440, ORS
678.442 & ORS
678.444
