Wis. Admin. Code Department of Health Services DHS 129.30 - Standards for hospice medication aide training programs
(1) CURRICULUM.
(a)
Minimum requirements. A
training program shall include the following 6 areas specified in pars. (b) to
(h).
(b)
Introduction.
1. To the
course.
2. To the role of the
medication aide.
(c)
Legal and ethical considerations.
1. Federal and state hospice 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.
Patient rights regarding administration of medications.
5. Confidentiality of information related to
patients.
6. Facility policies and
procedures for administration of medications.
(d)
Overview of body systems related
to the 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.
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 hospice settings.
a. Use of the
drug or drug indication.
b. Side
effects of the medications.
c.
Specific medication administration requirements.
Note: Chemotherapy is not part of the basic medication aide course.
6.
Medication packaging systems.
7.
Medication storage, destruction or return of medication.
(f)
Medication
administration.
1. Techniques and
procedures of various routes of medication administration.
Note: Injections, medications administered via a tube, nebulizers, and oxygen routes will not be evaluated as part of the basic hospice 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 and reporting. Requirements for timely reporting
and documenting the administration of all medication, including the need for
PRN medications and the patient'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 patient.
(h)
Medication safety.
1. Prevention of medication errors.
2. Causes of medication errors.
3. Reporting of medication errors.
(2) FACILITY AND CLASS
SIZE.
(a) The class facilities shall be of
sufficient size and structure so as 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. The program
shall have a minimum of 40 hours of instruction of which 32 hours is lecture
and 8 hours of which is quizzes, final examination and practicum. The 32 hours
of lecture shall contain hands-on and demonstrations of the appropriate
techniques of medication administration. The program will not be approved as a
prerecorded video-based program; however, videos internet and other technology
can be used to supplement the classroom instruction.
(4) GRADING.
(a) The program shall have a minimum of 6
quizzes. The student shall achieve an average of 85 percent on the quizzes in
order to take the final written examination.
(b) The student shall achieve a grade of 85
percent or better on the final written examination to take the practicum. A
student may be permitted one retake of the final written examination. Any
retake shall occur at least 3 months after the student first took the final
written examination.
Note: The final written examination is a state-generated examination and is administered by the department or its designee.
(c) The practicum examination
shall be administered after the final written examination and the student shall
achieve a grade of 85 percent or better on the practicum examination to pass
the course. Retakes of the practicum examination shall not be
permitted.
(d) If the student does
not successfully pass either the final written examination or the practicum
exam, the student shall retake the entire course.
(5) CERTIFICATION. The department or designee
shall issue a certificate to each student who satisfactorily completes the
course. The department or designee shall maintain a database of hospice nurse
aides who complete this course.
Note: The nurse aide should retain his or her hospice medication aide certificate of completion.
(6) RECORD RETENTION.
(a) The records of the program shall be
retained by the instructional entity for at least 3 years.
(b) The records file for each student in each
class shall contain all of the following:
1.
The student's qualifications.
2.
The student's record of attendance.
3. The student's quiz scores.
4. A copy of the practicum
requirements.
5. A copy of the
student's certificate of completion.
6. Program evaluation forms.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.