Current through September 24, 2024
(1) A licensed
nurse who provides care to nursing home, assisted care living facility or
P.A.C.E. residents may delegate the task of medication administration to an MA
in accordance with T.C.A. §
63-7-127(k) and
these rules.
(2) A licensed nurse
who delegates medication administration to an MA shall supervise the MA by:
(a) Reviewing the medication delivery process
to assure that there have been no errors in stocking or preparing the
medications;
(b) Accepting,
transcribing, and reviewing resident medication orders;
(c) Monitoring residents to whom medications
are administered for side effects or changes in health status;
(d) Reviewing documentation completed by the
MA, including, but not limited to the medication administration
record;
(e) Providing on-site
supervision and availability for immediate direction while in a nursing home
setting;
(f) Providing on-site
supervision or immediate and continuous availability through telecommunication
while in an assisted care living facility or P.A.C.E. setting; and
(g) Delegating the administration of
medication for each resident in writing to the MA.
(3) Prior to delegating medication
administration to an MA, a licensed nurse shall evaluate the following upon
admission, and after any change in status or acuity, or any change in
medication:
(a) The patient and the medication
needs of the patient, including:
1. The
patient's mental and physical stability;
2. The medication to be
administered;
3. The time frame
during which the medication is to be administered;
4. The route or method by which the
medication is to be administered; and
(b) The licensed nurse has determined that it
is safe for the resident to receive medication from the MA.
(4) When delegating the task of
medication administration to an MA, the licensed nurse shall communicate, in
writing, the following to the MA:
(a) The
patient to whom the MA shall administer medications;
(b) The medications the MA shall
administer;
(c) The time frames
during which the medications are to be administered; and
(d) Any special instructions concerning the
administration of medications to specific patients.
(5) A licensed nurse may delegate the
administration of as-needed medications to an MA provided the licensed nurse
completes a nursing assessment of the resident to whom the as-needed medication
is to be administered immediately prior to the medication being
administered.
Authority: T.C.A. §§
63-7-127 and
63-7-207.
