Regulation .04 Scope of Responsibility.
Regulation .04 Scope of Responsibility.LinkCopy Citation
A.
The CMA may be delegated medication administration by the RN or LPN under the following conditions:
(1)
The licensed nursing supervision requirements in Regulation .05 of this chapter have been met;
(2)
The CMA is assigned to administer medication;
(3)
There is a written medication order;
(4)
The CMA is physically present on a continuing basis in the unit of care to accomplish the following as instructed and directed by the RN or LPN:
(a)
Monitor the therapeutic effects of the medication;
(b)
Observe and report untoward effects of the medication;
(c)
Report observed changes in client behavior and clinical status; and
(d)
Withhold administration of the medication if necessary.
B.
The CMA may perform the following RN or LPN delegated nursing functions:
(1)
Prepare, administer, and chart medications administered:
(a)
Orally;
(b)
By nebulizer, metered dose inhalant, and, in the case of oxygen, by nasal cannula or mask;
(c)
Topically, excluding wound or decubitus site care;
(d)
By suppository; and
(e)
By eye, ear, and nose drops;
(2)
Prepare, administer, and chart:
(a)
Nonlegend PRN medications; and
(b)
Controlled schedule drugs after the RN or LPN:
(i)
Makes a bedside assessment of the patient;
(ii)
Documents the assessment; and
(iii)
Gives permission to the CMA to administer that medication; and
(3)
When the licensed nurse delegating medication administration provides access to the controlled schedule drug cabinet, sign for and administer controlled schedule drugs.