SECTION 310:677-13-7. Skills and functions

(a)   Task assignments. Approved training programs and facilities, centers and homes shall ensure that a task selected, taught and assigned to certified medication aides conforms to 63 O.S. Section 1-1950.3 and OAC 310:677-13.

(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.

[Source: Added at 23 Ok Reg 559, eff 12-22-05 (emergency); Added at 23 Ok Reg 2422, eff 6-25-06]