Section 448.803-C - [Effective 10/16/2025] Administration of medication(a) Permissible medication delivery.--A certified medication aide may administer, under the supervision of a physically on- site registered nurse or licensed practical nurse authorized by a registered nurse, oral, transdermal, ophthalmic, otic, inhaled or topical medication to a resident of a long-term care nursing facility. the following apply:(1) The supervising registered nurse or licensed practical nurse authorized by a registered nurse shall be physically on-site and available to the certified medication aide.(2) The certified medication aide may only administer medications to a resident of a long-term care nursing facility whose clinical status is considered stable.(3) No more than two certified medication aides may be supervised by a registered nurse or licensed practical nurse authorized by a registered nurse.(4) A certified medication aide may administer a Pro Re Nata medication according to a physician's, nurse practitioner's or physician assistant's orders with a registered nurse on-site. Certified medication aides shall document every administration of a Pro Re Nata medication and symptoms precipitating administration.(b) Impermissible medication delivery.--A certified medication aide may not: (1) Administer a controlled substance under section 4 of the act of April 14, 1972 (P.L.233, No. 64)1972, known as The Controlled Substance, Drug, Device and Cosmetic Act.(2) Administer medications by gastrostomy or jejunostomy tubes.(3) Add fluid to established gastrostomy or jejunostomy tube feedings or change established tube feeding bags.(4) Accept verbal or telephone orders for medication from a licensed health care professional who is authorized to independently diagnose and treat.(5) Administer medication by the following routes: (vii) Nonmetered inhaler.(viii) Subcutaneous injection.(6) Administer the following kinds of medications: (i) Barium and other diagnostic contrast media.(ii) Chemotherapeutic agents, except oral maintenance chemotherapy.(7) Administer medication by, nor assume responsibility for, medication pumps, including client-controlled analgesia.(8) Act as a clinical teaching associate to a student in a medication aide training program.(9) Administer the first dose of any new medication to a resident of a long-term care nursing facility.(10) Calculate or adjust a medication dose prescribed by a physician, nurse practitioner or physician assistant.(11) Delegate the administration of medication.(12) Administer medication without the supervision of a registered nurse or a licensed practical nurse authorized by a registered nurse who is physically on-site and available to the certified medication aide.Added by P.L. (number not assigned at time of publication) 2024 No. 109,§ 1, eff. 10/16/2025.