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Medication Administration by Aides and CNAs: Training, Validation, Medication Administration Record, and Errors

Sets the conditions under which a home health aide or CNA of the Agency may administer medication delegated by a registered nurse: the 6-hour course and annual 2-hour in-service, trainer qualifications, route-by-route validation at 100 percent within 90 days, yearly revalidation, the registered nurse medication assessment, the medication administration record and its 60-day review, the administration procedure, "as needed" medications, prohibited acts, storage and disposal, what happens after a violation, and how medication errors are reported and used in quality assurance.

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About this policy
Policy number
FL-HH-MED-02
Version
1.0
Main rule
Rule 59A-8.0219, F.A.C.
Library
Florida home health · 57 policies
Category
Clinical tasks
Sections
22

In short

  • To give medications you need the 6-hour course, a nurse's validation for each route at 100 percent, and the nurse's delegation.
  • Your validation lasts 1 year. Get revalidated in the 60 days before it expires, or stop giving medications.
  • Check the right patient, medication, dose, route, time, and reason every time, and record each dose on the MAR.
  • Call the nurse before any "as needed" dose. Never give pain or mental health medications "as needed".
  • Report any medication error to the nurse at once. Reports help us prevent the next one.

What's inside

22 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (s. 400.489, F.S.; Rule 59A-8.0219, F.A.C.)
  • 5. Routes the Agency Permits
  • 6. The 6-Hour Course and Annual In-Service
  • 7. Validation and Revalidation
  • 8. Registered Nurse Assessment and the MAR
  • 9. Administering a Dose
  • 10. "As Needed" (PRN) Medications
  • 11. What Aides Must Not Do
  • 12. Storage, Transport, and Disposal
  • 13. After a Violation
  • 14. Medication Errors
  • 15. Responsibilities
  • 16. Records and Compliance Monitoring
  • 17. Staff Training
  • 18. References
  • 19. Related Policies and Forms
  • 20. Approval
  • 21. Revision History

An inspector may ask

  • Show me this aide's 6-hour medication course, route validations, and when each validation expires.
  • Show me the registered nurse's medication assessment for this patient and the last MAR review.

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