N.H. Admin. Code § He-M 1202.05

Current through Register No. 45, November 7, 2024

Section He-M 1202.05 - Training and Authorization of Providers

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

(1) Consists of a minimum of 8 hours of classroom training, exclusive of testing and nurse trainer competency evaluation;

(2) Is conducted by a nurse trainer; and

(3) Covers the following topics:

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

b. Principles of emergency response;

c. Rights 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. Communications with individuals and if applicable, their guardians, about their 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) Intramuscular, only if epinephrine via auto injector; and

(iii) Enteral; and

m. Methods of documenting:

1. The administration of medications;

2. The use of controlled substances; and

3. Medication errors and refusals.

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

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

(3) Demonstrated knowledge of the following:

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, been evaluated and found to be competent, pursuant to Nur 404.07(b) -(f) , to be authorized to administer medications.

(c) Authorization pursuant to (b) above shall be valid for one year from the date of issuance or by the last day of the 12th month from the date of the prior authorization.

(d) Whenever a change in an individual's medication occurs or a new individual begins to receive services, the nurse trainer shall educate the authorized provider according to He-M 1202.05(b) (3) above.

(e) Re-authorization pursuant to (c) above shall be valid for one year from the date of issuance or by the last day of the 12th month from the date of the prior authorization.

(f) The nurse trainer shall maintain documentation of authorization and re-authorization pursuant to (b), (c), (d) , and (e) above for each authorized provider.

(h) Authorization of providers to administer medication shall be rescinded pursuant to Nur 404.06(a) (8) . Authorization shall be reinstated when the requirements in (b) (4) above have been met.

N.H. Admin. Code § He-M 1202.05

#7957, eff 9-19-03; ss by #9978, INTERIM, eff 9-19-11, EXPIRES: 3-19-12

New. #12192, eff 5-26-17

Amended by Volume XXXVII Number 23, Filed June 8, 2017, Proposed by #12192, Effective 5/26/2017, Expires 5/26/2027.