N.H. Admin. Code § He-M 1201.06

Current through Register No. 50, December 12, 2024

Section He-M 1201.06 - Training and Authorization of Providers

(a) Providers who request training to be authorized to administer medications shall complete a training program that:

(1) Includes of a minimum of 8 hours of classroom training, exclusive of testing or nurse trainer evaluation of whether or not the provider is competent;

(2) Is conducted by a nurse trainer and utilizes the New Hampshire state-approved written curriculum and test distributed by the bureau of developmental services; and

(3) Covers the following topics:

a. Effective health care coordination;

b. The role, responsibilities, and performance of the authorized provider in the medication administration process;

c. The rights of the individual regarding accepting or refusing medications;

d. Principles of infection control as they relate to medication administration;

e. Anatomy and physiology as they relate to medication administration;

f. Common reactions to medications;

g. Categories of medications and their effects;

h. Effective management of poisoning or medication overdose;

i. Storage and disposal of medications;

j. Communication with individuals or guardian, if applicable, about the individual's medications;

k. The 6 principles of medication administration, including:

1. The correct medication;

2. The correct dosage of the medication;

3. The medication to the correct individual;

4. The medication at the correct time;

5. The medication to the individual by the correct method; and

6. The accurate documentation;

l. Methods of administration including:

1. Oral;

2. Topical;

3. Inhalant;

4. Sublingual;

5. Transdermal;

6. Nasal;

7. Ocular;

8. Auricular;

9. Vaginal;

10. Rectal; and

11. When indicated by the needs of the individual:

(i) Subcutaneous;

(ii) Enteral; and

(iii) Intramuscular only for epinephrine from a labeled and pre-set or pre-drawn delivery system; and

m. Methods of documenting:

1. The administration of medications;

2. The use of controlled substances; and

3. Medication errors or refusals.

(b) The nurse trainer shall issue written authorization to a provider to administer medications if the provider:

(1) Completed a minimum of 8 hours of classroom training as set forth in (a) above;

(2) Scored 80% or higher on a written examination based on the information conveyed to them in the training referenced in (a) above;

(3) Demonstrated knowledge of the following pertaining to each individual's medication(s):

a. The name of the medication;

b. The reason for its use;

c. Any side effects or adverse reactions; and

d. Any special instructions such as giving certain fluids, checking pulse rate or monitoring blood levels; and

(4) Following direct observation by a nurse trainer, has been found competent, pursuant to Nur 404, to be authorized to administer medications.

(c) The authorized provider shall notify the nurse trainer whenever:

(1) Any change in an individual's medication occurs;

(2) Any clarification of medication orders or administration is needed; or

(3) An individual is hospitalized or receives medical treatment.

(d) Following notification in (c) above, the nurse trainer shall educate the authorized provider according to (b)(3) above.

(e) Providers shall be re-authorized to administer medications at least annually or by the last day of the 12^th month from the date of the prior authorization.

(f) Re-authorization of an authorized provider shall:

(1) Include, at a minimum, a demonstration of (a)(3)d. and k., and (b)(3) above;

(2) Follow a nurse trainer's direct observation of the provider in the administration of medication; and

(3) Be valid for the period of time described in (e) above.

(g) Each authorized provider shall maintain documentation in the individual's record of authorization pursuant to (b), (d), (e), and (f) above.

(h) The nurse trainer shall rescind or reinstate the authorization of a provider to administer medications in accordance with Nur 404 and He-M 1201.06, respectively.

(i) The nurse trainer shall specifically authorize a provider for each setting in which the provider will provide medication.

N.H. Admin. Code § He-M 1201.06

(See Revision Note at part heading for He-M 1201) #4809, eff 5-1-90; ss by #6000, eff 3-21-95; ss by #7836, INTERIM, eff 3-22-03, EXPIRES: 9-18-03; ss by #7956, eff 9-19-03; ss by #9982, eff 9-19-11 (from He-M 1201.05 )

Amended by Volume XXXIX, Number 41, Filed October 10, 2019, Proposed by #12876, Effective 9/25/2019, Expires 3/23/2020.

Amended by Volume XL Number 28, Filed July 9, 2020, Proposed by #13057, Effective 6/17/2020, Expires 6/17/2030