La. Admin. Code tit. 48 § I-9245

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-9245 - Training Requirements for the Performance of Medication Administration and Noncomplex Tasks in Home and Community-Based Settings

A. Person-Specific Training. Direct service workers shall receive person-specific training from a RN who has assessed the health status of the person and who has determined that the direct service worker can competently perform the tasks in a safe, appropriate manner for this person.

1. The RN's determination of competency shall be certified by the RN in writing, and the written certification shall be maintained in the direct service worker's personnel file. The RN's determination of competency shall not be delegated.

2. This training shall be repeated if the RN does not certify that the direct service worker has demonstrated a sufficient level of competency in the subject matter.

3. Based on the nursing assessment and clinical judgment, the RN shall provide additional person-specific training when the person receiving care has a change in health status or physician orders and yet remains in a stable, predictable condition. The RN may make a determination based upon his/her assessment of the workers competency that training can be safely performed via telephone contact, other means of electronic communication, or face-to-face contact with the worker. Examples include, but are not limited to:

a. changes in physician orders concerning health care tasks to be performed;

b. changes in physician orders regarding routine medications; or

c. new physician orders for short-term use of medication for a minor acute health condition.

B. Medication Administration Training. Direct service workers shall attain proficiency in the fundamentals of medication administration. Direct Service Staff shall receive 16 hours of medication administration training which has been coordinated and approved by an RN and which shall include the following.

1. Medication Administration Core Curriculum:

a. legal aspects of administering medication;

b. roles and responsibilities of medication administration;

c. medical terminology;

d. classification and identification of drugs;

e. measuring medications;

f. effects and side effects;

g. distribution and routes of medication;

h. drug interactions;

i. handling and storage of medicines;

j. six fundamental rights of administering medication:

i. give the right medication;

ii. give the right dose;

iii. give the medication to the right individual;

iv. give the medication by the right route;

v. give the medication at the right time; and

vi. provide the right documentation.

2. Documentation Training. Direct service workers shall attain proficiency in documentation which includes:

a. the contents of chart or record;

b. the importance of record keeping;

c. the rules for charting, including time limits;

d. documenting vital signs, as applicable;

e. documenting the condition of the person receiving care and significant changes; and

f. the name of medication, dose, route and time of administration.

3. Skill Proficiency Training. Direct service workers shall attain proficiency in the following skill areas, either by physical or verbal demonstration to the RN:

a. universal precautions and infection control;

b. vital signs, as applicable:

i. counting pulse;

ii. counting respirations;

iii. taking blood pressure; and

iv. taking oral, rectal, or axillary temperature.

C. A direct service worker who has not completed didactic training and demonstrated competency in accordance with guidelines established and approved by the Department of Health and the Louisiana Board of Nursing shall not be allowed to perform medication administration or any noncomplex tasks covered by this Rule.

D. Any direct service worker currently employed or contracted to perform the procedures authorized by this Chapter shall complete the training required by this Subchapter no later than 12 months after promulgation of this Rule.

La. Admin. Code tit. 48, § I-9245

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:3177 (December 2012), Amended LR 42895 (6/1/2016), Amended by the Department of Health, Bureau of Health Services Financing, amended LR 45664 (5/1/2019).

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1031-1034.