Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 557 - MEDICATION AIDES-PROGRAM REQUIREMENTS
Section 557.119 - Training Program Requirements
Universal Citation: 26 TX Admin Code ยง 557.119
Current through Reg. 49, No. 38; September 20, 2024
(a) Application. An educational institution accredited by the Texas Workforce Commission or Texas Higher Education Coordinating Board that desires to offer a training program must file an application for approval on an HHSC form through the online portal. Programs sponsored by state agencies for the training and preparation of their own employees are exempt from the accreditation requirement. An approved institution may offer the training program and a continuing education program.
(1) The application through the online portal
must include:
(A) the anticipated dates of the
program;
(B) the location of the
classroom instruction and training course;
(C) the name of the coordinator of the
program;
(D) a list that includes
the address and telephone number of each instructor and any other persons
responsible for the conduct of the program; and
(E) an outline of the program content and
curriculum if the curriculum covers more than HHSC established
curricula.
(2) HHSC may
conduct an inspection of the classroom instruction and training site.
(3) HHSC sends notice of approval or proposed
denial of the application to the program within 30 days after receiving a
complete application through the online portal. If HHSC proposes to deny the
application due to noncompliance with the requirements of this chapter, it
provides the reasons for denial in the notice.
(4) An applicant may request in writing a
hearing on a proposed denial. The applicant must submit a request within 15
days after the applicant receives notice of the proposed denial. The hearing is
governed by 1 Texas Administrative Code Chapter 357, Subchapter I (relating the
Hearings under the Administrative Procedure Act); Chapter 110 of this title
(relating to Hearings under the Administrative Procedure Act); and Texas
Government Code, Chapter 2001. If no request is made, the applicant has waived
the opportunity for a hearing, and HHSC takes the proposed
action.
(b) Basic training program.
(1) A training program must
include the following instruction and training:
(A) procedures for preparation and
administration of medications;
(B)
responsibility, control, accountability, storage, and safeguarding of
medications;
(C) use of reference
material;
(D) documentation of
medications in resident's or client's clinical records, including PRN
medications;
(E) minimum licensing
standards for facilities covering pharmaceutical service, nursing service, and
clinical records;
(F) federal and
state certification standards for participation under Title XVIII (Medicare)
and Title XIX (Medicaid) of the Social Security Act pertaining to
pharmaceutical service, nursing service, and clinical records;
(G) lines of authority in the facility,
including facility personnel who are immediate supervisors;
(H) responsibilities and liabilities
associated with the administration and safeguarding of medications;
(I) allowable and prohibited practices of
medication aides in the administration of medication;
(J) drug reactions and side effects of
medications commonly administered to residents or clients; and
(K) rules covering the medication aide
program.
(2) The program
must consist of 140 hours in the following sequence: 100 hours of classroom
instruction and training; 20 hours of return skills demonstration laboratory;
10 hours of clinical experience, including clinical observation and skills
demonstration under the direct supervision of a licensed nurse in a facility;
and 10 hours of return skills demonstration laboratory. A classroom instruction
and training or laboratory hour must include 50 minutes of actual classroom
instruction and training or laboratory time.
(A) Class time must not exceed:
(i) four hours in a 24-hour period for a
facility training program; or
(ii)
eight hours in a 24-hour period for a correctional facility training
program.
(B) The
completion date of the program must be:
(i) a
minimum of 60 days and a maximum of 180 days after the starting date of the
facility training program; or
(ii)
a minimum of 30 days and a maximum of 180 days after the starting date of a
correctional facility training program.
(3) Each program must follow the curricula
established by HHSC.
(4) Before a
student begins a training program, the program must:
(A) ensure the student meets training
requirements in §557.107(b)(1) - (9) of this chapter (relating to Training
Requirements; Nursing Graduates; Reciprocity);
(B) check the EMR to verify that the student
is not listed as unemployable; and
(C) check the NAR to verify if the student is
listed in revoked or suspended status.
(5) At least seven days before the beginning
of a training program, the coordinator must notify HHSC in writing through the
online portal of the dates and daily hours of the program, and the projected
number of students.
(6) A change in
any information presented by the program in an approved application, including
location, instructors, and content must be approved by HHSC through the online
portal before the change is implemented.
(7) The program instructors of the classroom
instruction and training hours must be a registered nurse and registered
pharmacist.
(A) The nurse instructor must
have:
(i) a minimum of two years of experience
in caring for individuals in a long-term care setting or be an instructor in a
school of nursing, for a facility training program; or
(ii) a minimum of two years of experience
employed in a correctional setting or be an instructor in a school of nursing,
for a correctional facility program.
(B) The pharmacist instructor must have:
(i) a minimum of one year of experience and
be currently employed or contracted as a consultant pharmacist in a facility;
or
(ii) a minimum of one year of
experience employed or contracted as a pharmacist in a correctional
setting.
(8)
The program coordinator must provide clearly defined and written policies
regarding each student's clinical experience to the student, the administrator,
and the director of nursing in the facility used for the clinical experience.
(A) The clinical experience must be counted
only when the student is performing functions involving medication
administration and under the direct supervision of a licensed nurse.
(B) The program coordinator must be
responsible for final evaluation of the student's clinical
experience.
(9) Each
program must issue to each student, upon successful completion of the program,
a certificate of completion, which must include the program's name, the
student's name, the date of completion, and the signature of the program
coordinator or administrative official.
(10) Each program must inform HHSC through
the online portal on the HHSC class roster form of the final grade results for
each student within 15 days after the student's completion of the course and
prior to scheduling the exam.
(11)
A student without an HHSC-approved criminal background check will not be
allowed to take the exam.
(c) Continuing education training program.
(1) The program must consist of at least
seven hours of classroom instruction and training or online
instruction.
(2) The instructors
must meet the requirements in subsection (b)(7) of this section.
(3) Each program must follow the curricula
established by HHSC or the curriculum established by TDCJ for corrections
medication aides, as applicable.
(4) Within 10 days after a medication aide's
completion of the course, each program must inform HHSC through the online
portal using the HHSC class roster form of the name of each medication aide who
has completed the course.
(d) In developing a training program for corrections medication aides that complies with Texas Government Code § 501.1485, TDCJ may modify, as appropriate, the content of the training program curriculum originally developed under Texas Health and Safety Code, Chapter 242, to produce content suitable for administering medication in a correctional facility. The training program curriculum must be approved by HHSC.
(e) Subsection (c) of this section applies to a training program for medication aides and corrections medication aides.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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