An unlicensed person may provide administration of medication to an individual without the requirement that a registered nurse (RN) delegate or oversee each administration of the medication if the following conditions are met:
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Each individual who has medications administered by an unlicensed person is assessed by an RN to identify the individual’s needs and abilities regarding the individual’s medication.
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The administration of medication is performed in such a manner as to ensure the greatest degree of independence as possible (including the use of adaptive equipment).
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The medication administered by an unlicensed person is an oral medication, a topical medication or a metered dose inhaler.
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The medication is administered for a stable or predictable condition.
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An RN has personally assessed the individual:
(a) prior to initiation of an unlicensed person administering medications,
(b) in response to significant changes in health status, and
(c) to determine that the individual’s health status permits the administration ofmedication by an unlicensed person.
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The unlicensed person has been:
(a) trained by an RN or licensed vocational nurse (LVN) under the direction of an RN regarding proper administration of medication, or
(b) determined to be competent by an RN or LVN under the direction of an RN regarding proper administration of medication, including through a demonstration of proper technique by the unlicensed person.
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? The facility has policies to ensure that the determination of whether an unlicensed person may provide administration of medication to an individual may be made only by an RN.
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