Wis. Admin. Code Department of Health Services DHS 129.24 - Standards for nursing home medication aide training programs
(1) CURRICULUM.
(a)
Minimum requirements. A
training program shall include at least the following 6 areas, specified in
pars. (b) to (h):
(b)
Introduction.
1. To the
course.
2. To the role of
medication aides.
(c)
Legal and ethical considerations.
1. Federal and state nursing home standards,
regulations, statutes, and administrative rules.
2. Standards of Practice for Registered
Nurses and Licensed Practical Nurses, ch. N 6 specific to registered nurse
delegation.
3. Professional and
staff roles and liabilities.
4.
Resident rights regarding administration of medications.
5. Confidentiality of information related to
residents.
6. Facility policies and
procedures for administration of medications.
(d)
Overview of body systems related
to routes of medication administration and the classes of medications.
1. Anatomy of body structures that pertain to
medication administration, including structure of the eye, ear, nose, mouth,
vagina, rectum, and skin, which are necessary to administer medication
correctly via these routes.
2.
Functions of these body structures that impact medication administration and
effectiveness.
3. Diseases of these
body structures that impact medication administration and medication
effectiveness.
Note: Examples of anatomy, function and diseases are provided in the curriculum development guide.
(e) Medication fundamentals, including:
1. Medication orders.
2. Medication mathematics, weights and
measures.
3. Dosage forms,
including pills, capsules, ointments, patches, and suppositories.
4. Drug effects and actions.
5. Classes or types of commonly used
medications in nursing homes.
6.
Use of the drug or drug indication.
7. Side effects of the medications.
8. Specific medication administration
requirements.
Note: Chemotherapy is not part of the basic medication aide course.
9. Medication
packaging systems.
10. Medication
storage, destruction or return of medication.
(f)
Medication
administration.
1. Techniques and
procedures of various routes of medication administration.
Note: Injections, and medications administered via a tube, a nebulizer, or an oxygen route will not be evaluated as part of the basic nursing home medication aide curriculum.
2. Six "rights" of medication administration,
including right patient, right drug, right dose, right route, right time, and
right documentation.
(g)
Observations, communication, and reporting. Requirements for
timely reporting and documenting the administration of all medication,
including the need for PRN medications and the resident's response, refusal to
take medication, omission of medications, errors in the administration of
medication and drug reactions and any change in the condition of a
resident.
(h)
Medication
safety.
1. Prevention of medication
errors.
2. Causes and reporting of
medication errors.
(2) FACILITY AND CLASS SIZE.
(a) The class facilities shall be of
sufficient size and structure to allow adequate space and equipment to instruct
the students.
(b) The total number
of students in any one class shall not exceed 24.
(3) COURSE STRUCTURE.
(a)
Instruction. The program
shall contain a minimum of 100 hours of instruction of which 60 hours shall be
spent in classroom instruction and 40 hours of which shall be clinical
experience in a nursing home. The department may not approve a program as a
video-based program; however, videos, the internet, and other technology can be
used to supplement the classroom instruction.
(b)
Medication consultant.
The program shall have a designated, qualified medication consultant who will
act as a resource for medication issues, concerns, questions and assist in
course updates.
(4)
GRADING.
(a) The curriculum shall contain a
minimum of 6 quizzes. Copies of examples of the quizzes shall be submitted to
the department for approval as part of the curriculum. The curriculum shall
require the student to achieve an average of 85 percent or better on the
quizzes before being allowed to take the final written exam.
(b) The curriculum shall contain a final
written exam. A copy of the final written exam or exams shall be submitted to
the department for approval as a part of the curriculum. The curriculum shall
require the student to achieve a grade of 85 percent or better on the final
written exam before being allowed to take the practicum exam.
(c) The curriculum shall contain a practicum
exam. Copies of the practicum exam shall be submitted to the department for
approval as part of the curriculum. The curriculum shall require the student to
achieve a grade of 85 percent or better on the practicum exam to be allowed to
complete the clinical experience portion in a nursing home.
(d) The student shall complete the clinical
experience portion in a nursing home under the direct supervision of a
registered nurse preceptor. Each program shall submit to the department a
clinical experience evaluation form for approval. The clinical experience
evaluation form shall define the critical components of each type of medication
administration skill as submitted at s. DHS 129.24(1) (f). The nurse preceptor
and program instructor shall use the approved clinical experience evaluation
form to check each medication administration skill. To successfully complete
the clinical experience the student shall obtain satisfactory scores as
identified in the approved evaluation form. The nurse preceptor and program
instructor shall sign the form if each medication administration skill has been
successfully completed by the student.
(e) The curriculum shall contain a policy on
quiz, final exam, and practicum exam retakes. The curriculum policy is subject
to department approval.
(5) RECORD RETENTION.
(a) The records of the program shall be
retained on file by the instructional entity for at least 3 years.
(b) The records file for each class shall
contain all of the following:
1. Records of
each student's attendance.
2. Each
student's quiz scores.
3. A copy of
each final exam and the exam's answer key.
4. Each student's final exam answer
sheets.
5. Each student's practicum
exam scores.
6. Each student's
clinical competency skills check list.
7. Copies of each student's certificates of
completion.
8. Copies of each
student's registry forms;
9. Forms
evaluating each student's performance.
Notes
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