Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 557 - MEDICATION AIDES-PROGRAM REQUIREMENTS
Section 557.105 - Allowable and Prohibited Practices of a Medication Aide
Universal Citation: 26 TX Admin Code ยง 557.105
Current through Reg. 49, No. 12; March 22, 2024
(a) A medication aide under Texas Health and Safety Code, Chapter 242, Subchapter N, may:
(1) observe and report to the facility's
charge licensed nurse reactions and side effects to medication shown by a
resident;
(2) take and record vital
signs before the administration of medication that could affect or change the
vital signs;
(3) administer
regularly prescribed medication to a resident if the medication aide:
(A) is trained to administer the
medication;
(B) personally prepares
the medication or sets up the medication to be administered from a unit dose
pack; and
(C) documents the
administration of the medication in the resident's clinical record;
(4) administer oxygen per nasal
cannula or a non-sealing mask only in an emergency, after which the medication
aide must verbally notify the licensed nurse on duty or on call and
appropriately document the action and notification;
(5) apply specifically ordered ophthalmic,
otic, nasal, vaginal, and rectal medication;
(6) administer previously ordered PRN
medication, if:
(A) the facility's licensed
nurse on duty or on call authorizes the medication;
(B) the medication aide documents in the
resident's records the symptoms indicating the need for the medication and the
time the symptoms occurred;
(C) the
medication aide documents in the resident's records that the facility's
licensed nurse was contacted, symptoms were described, and the licensed nurse
granted permission to administer the medication, including the time of
contact;
(D) the medication aide
obtains authorization to administer the medication from the facility's licensed
nurse on duty or on call each time the symptoms occur; and
(E) the medication aide ensures that the
resident's record is co-signed by the licensed nurse who gave authorization by
the end of the nurse's shift or, if the nurse was on call, by the end of the
nurse's next shift;
(7)
measure a prescribed amount of a liquid medication to be administered to a
resident;
(8) break a tablet to be
administered to a resident, if:
(A) the
resident's medication card or its equivalent accurately documents how the
tablet must be broken before administration; and
(B) the licensed nurse on duty or on call has
calculated the dosage;
(9) crush medication, if the medication aide:
(A) obtains authorization to crush the
medication from the licensed nurse on duty or on call; and
(B) documents the authorization on the
resident's medication card or its equivalent; and
(10) electronically order a refill of
medication from a pharmacy, if the refill request is signed by the licensed
nurse on duty or on call.
(b) A medication aide under Texas Health and Safety Code, Chapter 242, Subchapter N, may not:
(1) administer medication by the injection
route including:
(A) intramuscular
route;
(B) intravenous
route;
(C) subcutaneous
route;
(D) intradermal route;
and
(E) hypodermoclysis
route;
(2) administer
medication used for intermittent positive pressure breathing treatments or any
form of medication inhalation treatments;
(3) administer previously ordered PRN
medication, except in accordance with subsection (a)(6) of this
section;
(4) administer medication
that, according to the resident's clinical records, has not been previously
administered to the resident;
(5)
calculate a resident's medication doses for administration;
(6) crush medication, except in accordance
with subsection (a)(9) of this section;
(7) administer medications or feedings by way
of a tube inserted in a cavity of the body;
(8) receive or assume responsibility for
reducing to writing a verbal or telephone order from a healthcare
professional;
(9) order a
resident's medications from a pharmacy, except in accordance with subsection
(a)(10) of this section;
(10) apply
topical medications that involve the treatment of skin that is broken or
blistered or when a specified aseptic technique is ordered by the attending
physician;
(11) steal, divert, or
otherwise misuse medication;
(12)
violate any provision of the Texas Health and Safety Code or this
chapter;
(13) fraudulently procure
or attempt to procure a permit;
(14) neglect to administer appropriate
medications, as prescribed, in a responsible manner; or
(15) administer medications if the person is
unable to do so with reasonable skill and safety to residents by reason of
drunkenness or excessive use of drugs, narcotics, chemicals, or any other type
of material.
(c) If a practice is not described in subsection (a) of this section the practice is prohibited for a medication aide under Texas Health and Safety Code, Chapter 242, Subchapter N.
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