NAC632.320. Submission of application to employ medication aides - certified; required policies and procedures.

     1. Before a designated facility may employ medication aides - certified, the designated facility must submit an application, on a form prescribed by the Board, to the Board for approval. The application must include, without limitation:

     (a) Documentation demonstrating that the designated facility is certified to participate in Medicare and Medicaid.

     (b) The job description of the medication aide - certified.

     (c) The name of the advanced practitioner of nursing or registered nurse who will be supervising or delegating duties to the medication aide - certified.

     (d) The policies and procedures developed by the designated facility to carry out the duties to be delegated to a medication aide - certified, including, without limitation, policies and procedures to ensure patient safety and reporting errors in the administration of medication.

     2. The policies and procedures submitted to the Board pursuant to paragraph (d) of subsection 1 must include, without limitation, provisions requiring:

     (a) A medication aide - certified to report to his or her supervising advanced practitioner of nursing or registered nurse:

          (1) Any signs or symptoms exhibited by a patient which the medication aide - certified believes may indicate a threat to the life of the patient;

          (2) Any event which occurs that the medication aide - certified believes may be a present threat to the life of a patient; and

          (3) Medication that has been administered to a patient that the medication aide - certified believes has not produced the expected result or appears to be adversely affecting the health of a patient.

     (b) An advanced practitioner of nursing or registered nurse who supervises a medication aide - certified to retain responsibility for:

          (1) The overall provision of care by the medication aide - certified; and

          (2) Supervising and evaluating the medication aide - certified, including, without limitation, ensuring that the medication aide - certified administers medication and performs delegated duties in accordance with the accepted standard of care required for a medication aide - certified.

     (c) An advanced practitioner of nursing or a registered nurse who supervises a medication aide - certified to review:

          (1) Each order for medication submitted by a licensed physician, licensed physician assistant, licensed dentist, licensed podiatric physician or an advanced practitioner of nursing; and

          (2) The record of each patient relating to medication.

     (Added to NAC by Bd. of Nursing by R112-11, eff. 2-15-2012)