<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.39.03.03" title_num="10" subtitle_num="39" chapter_num="03" heading="Medicine Aide Course Requirements.">
  <paragraph num="A.">
    <text>Medicine Aide Course Curriculum. The Board shall approve a CMA program that:</text>
    <paragraph num="(1)">
      <text>Requires a candidate for admission to the program have current employment and work experience as set forth in Regulation .02A(2) of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Requires before admission that a candidate have a positive recommendation from the director of nursing in the facility where the candidate is employed;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is at least 60 hours in length with a minimum of 30 clock hours devoted to theoretical instruction and a minimum of 30 clock hours of supervised clinical training experience in a facility licensed under COMAR 10.07.02;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Includes instruction in both theory and clinical regarding all approved routes of medication administration and the scope of responsibility of the CMA; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Includes each of the following subjects:</text>
      <paragraph num="(a)">
        <text>Responsibilities and limitations of the CMA;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Drug standards, references, and resources;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Legislation concerning drug utilization;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Characteristics of the elderly client or client with multiple handicaps;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Sources and purposes of drugs;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Dosage forms and methods of administration;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Drug life;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>The medication order;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>The pharmacy label;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>The administration of nonparenteral medications;</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Procedures and techniques for administering drugs;</text>
      </paragraph>
      <paragraph num="(l)">
        <text>Drug classification, related health problems, and patient care responsibilities;</text>
      </paragraph>
      <paragraph num="(m)">
        <text>Drug solutions and measurements; and</text>
      </paragraph>
      <paragraph num="(n)">
        <text>Monitoring side effects of drugs and drug interactions.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Medicine Aide Continuing Education Curriculum. Continuing education courses required for continued listing as a CMA as required in Regulation .02C of this chapter shall contain:</text>
    <paragraph num="(1)">
      <text>A 3-hour core content that includes:</text>
      <paragraph num="(a)">
        <text>Current State regulations related to the role of the medicine aide;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Uses, actions, and possible interactions of and related precautions for current medications used in the care of the geriatric patient;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>New care procedures; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Resources available to the medicine aide which clarify and expand the knowledge of the medicine aide; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>3 hours on at least three of the following topics:</text>
      <paragraph num="(a)">
        <text>Documentation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Nutrition;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The physiological system of the geriatric patient;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>De-institutionalization of the intellectually disabled or psychiatric patient; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Other aspects of pharmacology; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>2 hours of assessment testing administered at the completion of the continuing education course.</text>
    </paragraph>
  </paragraph>
</regulation>