ARM 24.159.915. STANDARDS RELATED TO THE RESPONSIBILITIES OF A MEDICATION AIDE I

(1) The medication aide I shall: (a) practice under the general supervision of a nurse with an unencumbered Montana license; (b) practice only in an assisted living facility as defined by 50-5-101, MCA; (c) administer only medications that are in: (i) a unit dose package; or (ii) a prefilled medication holder; (d) administer only PRN and routine medications as defined in ARM 24.159.301; (e) administer medications only by allowable routes as defined in ARM 24.159.901, except: (i) insulin may be subcutaneously injected from a labeled and preset or predrawn insulin delivery device; and (f) notify the supervising nurse if: (i) the patient has a change in medication and the medication is not available as described in (1)(c); or (ii) the medication aide has observed a change in the patient's physical or mental condition. (2) "General supervision" for purposes of this rule means at least quarterly onsite review by a supervising nurse of a medication aide I's medication administration skills, and the guidance of a supervising nurse to include a written plan addressing questions and situations that may arise when the supervising nurse is not available. Such a plan must include access to a health care professional.