Okla. Admin. Code § 310:677-13-11

Current through Vol. 42, No. 7, December 16, 2024

Section 310:677-13-11 - Facility policies and procedures

(a) If a facility uses certified medication aides, facility policies and procedures shall address:

(1) Methods that the facility, center or home uses to ensure that training, skill validation, and task assignment procedures are approved and implemented;

(2) Licensed supervision, oversight and availability;

(3) Staff intervention during an emergency;

(4) Procedures for responding when a resident experiences a change in condition, demonstrates side effects or does not respond to the medication regimen as identified in the plan of care;

(5) Documentation that must be maintained;

(6) Reporting errors to licensed nurses and/or physicians; and

(7) Reporting violations of 63 O.S. Section 1-1950.3(E) and OAC 310:677 to the State Health Department.

(b) If a facility uses certified medication aides that have completed an advanced training program and demonstrated competency for care of diabetes or other specialized training modules, the facility policies and procedures shall address subsection (a) of this section and:

(1) Standards for monitoring and assessments of residents by a registered nurse or physician, including:

(A) Frequency of monitoring and assessment;

(B) Distinguishing between Type I and Type II diabetes, and stable and unstable diabetes;

(2) Validating CMA skills before the CMA performs medication administration, and annual reviews of CMA performance competency and proficiency by the facility nurse;

(3) Procedures for blood sugar testing;

(4) Collecting data;

(5) Charting, graphing and recording data;

(6) Standards for reporting to the licensed nurse or physician on a timely basis, including:

(A) Recognition of abnormal resident reactions;

(B) Contact procedures, on-call hours, and response times; and

(C) Medication administration errors, including the wrong patient, drug, date, time, dosage, route or form;

(7) Contacting emergency medical services;

(8) Training, orientation and delegation of tasks from the facility's nurse;

(9) Drawing up insulin;

(10) Following physician orders, including use of sliding scale orders prescribed by physicians;

(11) Safety and infection control; and

(12) Minimum qualifications for CMAs and facility screening of applicants, to include assurance that each certified medication aide has the physical and mental capability to safely perform duties.

Okla. Admin. Code § 310:677-13-11

Added at 23 Ok Reg 559, eff 12-22-05 (emergency); Added at 23 Ok Reg 2422, eff 6-25-06