Utah Admin. Code R156-31b-801 - Medication Aide Certified - Formulary and Protocols

Under Subsection 58-31b-102(10)(b)(i), the formulary and protocols for an MAC to administer routine medications are as follows:

(1) under the supervision of a licensed nurse, an MAC may:

(a) administer over-the-counter medication;

(b) administer prescription medications:

(i) if expressly instructed to do so by the supervising nurse; and

(ii) via the routes listed in Subsection 58-31b-102(16)(b);

(c) turn oxygen on and off at a predetermined, established flow rate;

(d) destroy medications per facility policy;

(e) assist a patient with self-administration; and

(f) account for controlled substances with another MAC or nurse physically present;

(2) an MAC may not administer medication via the following routes:

(a) central lines;

(b) colostomy;

(c) intramuscular;

(d) subcutaneous;

(e) intrathecal;

(f) intravenous;

(g) nasogastric;

(h) nonmetered inhaler;

(i) intradermal;

(j) urethral;

(k) epidural;

(l) endotracheal; or

(m) gastronomy or jejunostomy tubes;

(3) an MAC may not administer the following kinds of medications:

(a) barium and other diagnostic contrast;

(b) chemotherapeutic agents, except oral maintenance chemotherapy;

(c) medication pumps including client-controlled analgesia; or

(d) nitroglycerin paste;

(4) an MAC may not:

(a) administer medication that requires nursing assessment or judgment before administration, through ongoing evaluation, or during follow-up;

(b) receive written or verbal patient orders from a licensed practitioner;

(c) transcribe orders from the medical record;

(d) conduct patient or resident assessments or evaluations;

(e) engage in patient or resident teaching activities regarding medications, unless expressly instructed to do so by the supervising nurse;

(f) calculate drug doses, or administer any medication that requires a medication calculation to determine the appropriate dose;

(g) administer the first dose of a new medication or a dosage change, unless expressly instructed to do so by the supervising nurse; or

(h) account for controlled substances, unless assisted by another MAC or a nurse who is physically present;

(5) under Section R156-31b-701a or R156-31b-701b, a nurse may refuse to delegate to an MAC the administration of medications to a specific patient or in a specific situation; and

(6) a nurse practicing in a facility that:

(a) is required to provide nursing services 24 hours a day may not supervise more than two MACs per shift; and

(b) is not required to provide nursing services 24 hours a day may supervise up to four MACs per shift.

Notes

Utah Admin. Code R156-31b-801

Amended by Utah State Bulletin Number 2022-01, effective 12/27/2021 Amended by Utah State Bulletin Number 2024-01, effective 12/28/2023 Amended by Utah State Bulletin Number 2025-03, effective 1/16/2025