9 CSR 45-3.070 - Certification of Medication Aides Serving Persons with Developmental Disabilities
PUBLISHER'S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. Therefore, the material which is so incorporated is on file with the agency who filed this rule, and with the Office of the Secretary of State. Any interested person may view this material at either agency's headquarters or the same will be made available at the Office of the Secretary of State at a cost not to exceed actual cost of copy reproduction. The entire text of the rule is printed here. This note refers only to the incorporated by reference material.
(1) The purpose of
the Medication Aide Training Program shall be to prepare individuals for
employment as medication aides in any residential setting or day program
funded, licensed or certified by the Department of Mental Health to provide
services to persons with mental retardation or developmental disabilities. The
training program does not prepare individuals for the parenteral administration
of medications such as insulin or the administration of medications or other
fluids via enteral feeding tubes.
(2) All aspects of the Medication Aide
Training Program included in this rule shall be met in order for a program to
be considered approved.
(3) The
objectives of the Medication Aide Training Program shall be to ensure that the
medication aide will be able to-
(A) Define
the role of a medication aide;
(B)
Prepare, administer and chart medications by nonparenteral routes;
(C) Observe, report and record unusual
responses to medications;
(D)
Identify responsibilities associated with control and storage of medications;
and
(E) Utilize appropriate drug
reference materials.
(4)
The course shall be a minimum of sixteen (16) hours of integrated formal
instruction and practice sessions supervised by an approved
instructor.
(5) The curriculum
content shall include procedures and instructions in the following areas: basic
human needs and relationships; drug classifications and their implications;
assessing drug reactions; techniques of drug administration; documentation;
medication storage and control; drug reference resources; and infection
control.
(6) The approved course
curriculum shall be the manual entitled Level I Medication Aide
(IE 64-1), developed by the Department of Elementary and Secondary
Education, Department of Mental Health and the Division of Aging and produced
by the Instructional Materials Laboratory, University of Missouri-Columbia.
This manual is incorporated by reference in this rule. Students and instructors
each shall have a copy of this manual.
(7) A student shall not administer
medications without the instructor present until s/he successfully completes
the course and obtains a certificate.
(8) Student Qualifications.
(A) Any individual employable in a
residential setting or day program funded, licensed or certified by the
Department of Mental Health to provide services to persons who are mentally
retarded or developmentally disabled, and who meet the requirements of
9 CSR
10-5.190, shall be eligible to enroll as a student in
this course or to challenge the final examination.
(B) An individual may qualify as a medication
aide by successfully challenging the final examination if that individual has
successfully completed a medication administration course and is currently
employed to perform medication administration tasks in a residential setting or
day program operated, funded, licensed or certified by the Department of Mental
Health to provide services to persons who are mentally retarded or
developmentally disabled.
(C)
Certain persons may be deemed certified under paragraph (13)(B)4. of this
rule.
(9) Those persons
wanting to challenge the final examination shall submit a request in writing to
the Missouri Division of Mental Retardation and Developmental Disabilities
enclosing applicable documentation. If approved to challenge the examination,
the Division of Mental Retardation and Developmental Disabilities will send the
applicant a letter to present to an approved instructor so arrangements can be
made for testing.
(10) Instructor
Qualifications.
(A) An instructor shall be
currently licensed to practice as either a registered nurse or practical nurse
in Missouri or shall hold a current temporary permit from the Missouri State
Board of Nursing. The licensee shall not be subject to current disciplinary
action such as censure probation, suspension or revocation. If the individual
is a licensed practical nurse, the following additional requirements shall be
met:
1. Shall not be waived: the instructor
has a valid Missouri license or a temporary permit from the Missouri State
Board of Nursing; and
2. Shall be a
graduate of an accredited program, which has pharmacology in the
curriculum.
(B) In order
to be qualified as an instructor, the individual shall-
1. Have attended a "Train the Trainer"
workshop to implement the Level I Medication Aide Training Program conducted by
a Missouri registered nurse presenter approved by the Missouri Division of
Aging.
2. Meet at least one (1) of
the following criteria:
A. Have had one (1)
year's experience working in a long-term care (LTC) facility licensed by the
Division of Aging or in a residential facility or day program operated, funded,
licensed or certified by the Department of Mental Health within the past five
(5) years; or
B. Be currently
employed in a LTC facility licensed by the Department of Mental Health and
shall have been employed by that facility for at least six (6) months;
or
C. Shall be an instructor in a
Health Occupations Education Program.
(11) Sponsoring Agencies.
(A) The Medication Aide Training Program may
be sponsored by providers of residential or day programs operated, funded,
licensed or certified by the Department of Mental Health, Division of Mental
Retardation and Developmental Disabilities.
(B) The sponsoring agency is responsible for
obtaining an approved instructor, determining the number of manuals needed for
a given program, ordering the manuals for the students and presenting a class
schedule for approval by the local regional center. The sponsoring agency shall
maintain the following documentation: the name of the approved instructor; the
instructor's Social Security number, current address and telephone number; the
number of students enrolled; the name, address, telephone number, Social
Security number and age of each student; the name and address of the facility
that employs the student, if applicable; the date and location of each class to
be held; and the date and location of the final examination. If there is a
change in the date and location of the training, the sponsoring agency shall
notify the local regional center.
(C) Classrooms used for training shall
contain sufficient space, equipment and teaching aids to meet the course
objectives as determined by the Division of Mental Retardation and
Developmental Disabilities.
(D) If
the instructor is not directly employed by the agency, there shall be a signed
written agreement between the sponsoring agency and the instructor which shall
specify the role, responsibilities and liabilities of each party.
(12) Testing.
(A) The final examination shall consist of a
written and a practicum examination administered by the instructor.
1. The written examination shall include
questions based on the course objectives developed by the Division of Mental
Retardation and Developmental Disabilities.
2. The practicum examination shall be
conducted in a residential setting or day program operated, funded, licensed or
certified by the Department of Mental Health, Division of Mental Retardation
and Developmental Disabilities or an LTC facility which shall include the
preparation and administration by nonparenteral routes and recording of
medications administered to consumers under the direct supervision of the
instructor and the person responsible for medication administration in the
facility. When it is not feasible and/or possible to conduct the practicum
examination in an approved residential or day program, the instructor may
request a waiver from the local regional center to conduct the practicum
examination in an approved simulated classroom situation.
(B) A score of eighty percent (80%) is
required for passing the final written examination and one hundred percent
(100%) accuracy in the performance of the steps of procedure in the practicum
examination.
(C) The final
examination, if not successfully passed, may be retaken within ninety (90) days
one (1) time without repeating the course, however, those challenging the final
examination must complete the course if the examination is not passed in the
challenge process.
(D) The
instructor shall complete final records and shall submit these and all test
booklets to the sponsoring agency.
(13) Records and Certification.
(A) Records.
1. The sponsoring agency shall maintain
records of all individuals who have been enrolled in the Medication Aide
Training Program and shall submit to the local regional center all test
booklets, a copy of the score sheets and a complete class roster.
2. A copy of the final record shall be
provided to any individual enrolled in the course.
3. A final record may be released only with
written permission from the student in accordance with the provisions of the
Privacy Act-
PL
900-247 .
(B) Certification.
1. The regional center shall issue a
Department of Mental Health, Division of Mental Retardation and Developmental
Disabilities, Medication Aide Certificate to employable individuals
successfully completing the course upon receiving the required final records
and test booklets from the sponsoring agency.
2. The regional center shall enter the names
of all individuals receiving a Medication Aide Certificate in the Division of
Mental Retardation and Developmental Disabilities Medication Aide
Registry.
3. Medication aides who
do not currently meet certification requirements must successfully pass the
Level I Medication Aide course or challenge the final examination, if eligible,
and obtain a Division of Mental Retardation and Developmental Disabilities
Medication Aide Certificate within eighteen (18) months from the effective date
of this regulation. Individuals who fail to comply shall not be allowed to
administer medications.
4.
Individuals who hold a Medication Aide Certificate issued by a regional center
or a Division of Aging Level I Medication Aide Certificate, and have completed
biannual training as required in section (14), will meet the requirements of
this rule.
(14)
Bi-Annual Training Program.
(A) Level I
medication aides shall participate in a minimum of four (4) hours of medication
administration training every two (2) years in order to administer medications
in a residential setting or day program funded, certified or licensed by the
Department of Mental Health to provide services to persons who are mentally
retarded or developmentally disabled. The training shall be taken in two (2)
two (2)-hour blocks or a four (4)-hour block and must be completed by the
anniversary date of the medication aide's initial level I medication aide
certificate. The training shall be-
1. Offered
by a qualified instructor as outlined in section (10) of this rule;
and
2. Documented on the Level I
Medication Aide Bi-Annual Training form MO 650-8730 and kept in the employee's
personnel file. This form is incorporated by reference in this rule.
(B) The training shall address at
the least the following:
1. Medication
ordering and storage;
2. Medication
administration;
A. Use of generic
drugs;
B. How to pour, chart,
administer and document;
C.
Information and techniques specific to the following: inhalers, eye drops,
topical medications and suppositories;
D. Infection control;
E. Side effects and adverse
reactions;
F. New medications
and/or new procedures;
G.
Medication errors;
3.
Individual rights, and refusal of medications and treatments;
4. Issues specific to the facility/program as
indicated by the needs of the consumers, and the medications and treatments
currently being administered; and
5. Corrective actions based on problems
identified by the staff, the trainees or issues identified by regulatory and
accrediting bodies, professional consultants or by any other authoritative
source.
(C) The
Department of Mental Health regional centers will routinely monitor the quality
of medication administration. When quality assurance monitoring documents that
a medication aide is not administering medications within training guidelines,
the regional center may require the aide to take additional training in order
to continue passing medications in the residential setting or day
program.
(15) Revocation
of Certification.
(A) If the Department of
Mental Health upon completion of an investigation, finds that a medication aide
has stolen or diverted drugs from a consumer or facility or has had his/her
name added to the Department of Mental Health Employee Disqualification
Registry or Division of Aging Employee Disqualification Registry, the
Department of Mental Health shall render the medication aide's certificate
invalid.
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Notes
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