Minnesota Administrative Rules

4668.0855 MEDICATION ADMINISTRATION AND ASSISTANCE WITH SELF-ADMINISTRATION OF MEDICATION.

Subpart 1.

Scope.

This part applies to a class F home care provider licensee that provides medication administration or assistance with self-administration of medication by unlicensed personnel.

Subp. 2.

Nursing assessment and service plan.

For each client who will be provided with assistance with self-administration of medication or medication administration, a registered nurse must conduct a nursing assessment of each client's functional status and need for assistance with self-administration of medication or medication administration, and develop a service plan for the provision of the services according to the client's needs and preferences. The service plan must include the frequency of supervision of the task and of the person providing the service for the client according to part 4668.0845, and must be maintained as part of the service plan required under part 4668.0815.

Subp. 3.

Delegation by a registered nurse.

A registered nurse may delegate medication administration or assistance with self-administration of medication only to a person who satisfies the requirements of part 4668.0835, subpart 2, and possesses the knowledge and skills consistent with the complexity of medication administration or assistance with self-administration of medication, only in accordance with Minnesota Statutes, sections 148.171 to 148.285.

Subp. 4.

Training for assistance with self-administration of medication or medication administration.

Before the registered nurse delegates the task of assistance with self-administration of medication or the task of medication administration, a registered nurse must instruct the unlicensed person on the following:

A.

the complete procedure for checking a client's medication record;

B.

preparation of the medication for administration;

C.

administration of the medication to the client;

D.

assistance with self-administration of medication;

E.

documentation, after assistance with self-administration of medication or medication administration, of the date, time, dosage, and method of administration of all medications, or the reason for not assisting with self-administration of medication or medication administration as ordered, and the signature of the nurse or authorized person who assisted or administered and observed the same; and

F.

the type of information regarding assistance with self-administration of medication and medication administration reportable to a nurse.

Subp. 5.

Administration of medications.

A person who satisfies the requirements of subpart 4 and has been delegated the responsibility by a registered nurse, may administer medications, orally, by suppository, through eye drops, through ear drops, by use of an inhalant, topically, by injection, or through a gastrostomy tube, if:

A.

the medications are regularly scheduled; and

B.

in the case of pro re nata medications, the administration of the medication is reported to a registered nurse either:

(1)

within 24 hours after its administration; or

(2)

within a time period that is specified by a registered nurse prior to the administration.

Subp. 6.

Limitations on administering medications.

A person who administers medications under subpart 3 may not draw up injectables. Medication administered by injection under subpart 5 is limited to insulin.

Subp. 7.

Performance of routine procedures.

A person who satisfies the training requirements of subpart 4 may perform assistance with self-administration of medication or medication administration if:

A.

before performing the procedures, the person is instructed by a registered nurse in the proper methods to perform the procedures with respect to each client;

B.

a registered nurse specifies in writing specific instructions for performing the procedures for each client;

C.

before performing the procedures, the person demonstrates to a registered nurse the person's ability to competently follow the procedures;

D.

the procedures for each client are documented in the client's records; and

E.

the class F home care provider licensee retains documentation by the registered nurse regarding the person's demonstrated competency.

Subp. 8.

Documentation.

A class F home care provider licensee must retain documentation in the personnel records of the unlicensed personnel who have satisfied the training requirements of this part.

Subp. 9.

Medication records.

The name, date, time, quantity of dosage, and the method of administration of all prescribed legend and over-the-counter medications, and the signature and title of the authorized person who provided assistance with self-administration of medication or medication administration must be recorded in the client's record following the assistance with self-administration of medication or medication administration. If assistance with self-administration of medication or medication administration was not completed as prescribed, documentation must include the reason why it was not completed and any follow up procedures that were provided.

Subp. 10.

Schedule of fines.

For a violation of the following subparts, the stated fine shall be assessed:

A.

subpart 2, $350;

B.

subpart 3, $350;

C.

subpart 4, $300;

D.

subpart 5, $350;

E.

subpart 6, $500;

F.

subpart 7, $350;

G.

subpart 8, $50; and

H.

subpart 9, $300.

Statutory Authority:

MS s 144A.45

History:

24 SR 141; L 2006 c 282 art 19 s 19

Published Electronically:

July 3, 2013