Section 1000-05-.11 - STANDARDS OF PRACTICE(1) A medication aide shall maintain knowledge of the duties, responsibilities, and accountabilities of a medication aide and shall act in accordance with the statutes and rules pertaining to the administration of medication by a medication aide.(2) A medication aide shall display the title "medication aide" at all times when administering medications to residents of a nursing home, assisted care living facility, or P.A.C.E.(3) An MA shall demonstrate competence and responsibility in the task of medication administration including any observation about the condition of a resident that should cause concern to a medication aide and reporting to the delegating nurse.(4) An MA shall ensure and promote a safe environment for nursing home, assisted care living facility, or P.A.C.E. residents.(5) An MA shall accurately document in the patient's or resident's record the following information immediately after the administration of a medication: (a) The name of the medication and the dosage administered;(b) The route of the administration;(c) The date and time of the administration;(d) The name and credentials of the MA who administered the medication;(e) The name of the licensed nurse who delegated the administration of the medication;(f) The resident's refusal or inability to ingest the medication or comply with the administration of the medication; and(g) Any complaints by the resident about the medication administration or medication administered.(6) An MA shall document in the medical record and report the following to the delegating nurse or the delegating nurse's supervisor in a timely manner: (a) The resident's request for an as-needed medication;(b) The resident's refusal or inability to ingest the medication or comply with the administration of the medication;(c) Any deviation from the delegated medication administration; and(d) Any observations or information about the resident's condition that causes concern.(7) An MA shall document contact with the supervising nurse in the medical record.(8) An MA shall store drugs in accordance with the pharmacist's instructions.(9) An MA shall remove drugs only from a properly labeled container or packaging that has been dispensed by a licensed pharmacist that contains the drug name; dosage; strength; name of the resident to whom it is to be dispensed; and drug expiration date.(10) An MA shall complete all necessary tasks to ensure safe medication administration to a resident, including, but not limited to the following:(a) Verifying the identity of the resident to whom the medication is to be administered;(b) Ensuring that medication administration for the resident has been delegated and documented by the delegating licensed nurse prior to the administration of the medication;(c) Ensuring that the medication is being administered to the resident in accordance with the delegation and prescriber instructions;(d) Ensuring that the correct medication in the correct dosage and route is administered to the resident;(e) Documenting and reporting a medication error to the delegating licensed nurse who is on-site at the nursing home, assisted care living facility, or P.A.C.E. or via a two-way telephone conversation.(11) An MA shall maintain the confidentiality of protected health information obtained in the course of the MA's duties and responsibilities.(12) An MA shall not delegate the task of medication administration to any other person.(13) An MA shall not falsify any resident record or any other document prepared or utilized in the course of, or in conjunction with, the administration of medication.(14) An MA shall maintain professional boundaries with each resident.(15) An MA shall not:(a) Administer medication when such administration would require a dosage decision or calculation including splitting medications, by the medication aide;(b) Directly receive orders from a physician or other medication prescriber;(c) Administer barium or other contrast media;(d) Administer chemotherapeutic agents;(e) Administer rectal and vaginal medications;(f) Administer medications delivered by metered hand-held inhalers without a spacer;(g) Administer medications delivered by aerosol/nebulizer;(h) Apply topical medications ordered for the treatment of pressure ulcers or skin grafts;(i) Change a dosage amount to adhere to a change in a physician's/prescriber's order; or(j) Administer the initial dose of a medication ordered for a resident until after a new evaluation has been performed by a licensed nurse.(16) An MA shall not, under any circumstances, administer medications by certain methods or routes, or both. These include, but are not necessarily limited to, the following: (f) A surgically placed feeding tube, e.g., gastrostomy, jejunostomy;(17) An MA shall not: (a) Engage in sexual conduct with a resident or conduct that may reasonably be interpreted as sexual; or(b) Engage in any verbal behavior that is seductive or sexually demeaning to a resident, or that may reasonably be interpreted as seductive, or sexually demeaning to a resident. (For purposes of this paragraph, the resident is always presumed incapable of giving free, full, or informed consent to sexual activity with a medication aide); or(c) Make any false, misleading or deceptive statements, or submit or cause to be submitted any false, misleading, or deceptive information or documentation to the board or any representative of the board; or(d) Use social media, texting, emailing, or other forms of communication with, or about, a resident, for non-health care purposes or for purposes other than fulfilling the aide's assigned job responsibilities.Tenn. Comp. R. & Regs. 1000-05-.11
Original rule filed May 15, 2012; effective August 13, 2012. The Government Operations Committee filed a 60-day stay of the rule on July 13, 2012; new effective date October 12, 2012. Amendments filed September 11, 2017; effective 12/10/2017.Authority: T.C.A. §§ 63-7-127, 63-7-207, and 63-10-201.