Specific delegation of medication administration

An individual on the department's nurse aide registry may accept the delegation of the delivery of specific medication for a specific client by a licensed nurse if the following steps are followed: 1. The individual on the department's nurse aide registry must receive the organization procedural guidelines for the certified nurse aide, home health aide, nurse aide, or medication assistant I or II to follow in the administration of medication by specific delegation. 2. The individual on the department's nurse aide is taught by a licensed nurse for each specific client's medication administration which includes verbal and written instruction for the specific client's individual medications, including: a. The medication trade name and generic name; b. The purpose of the medication; c. Signs and symptoms of common side effects, warnings, and precautions; d. Route and frequency of administration; and e. Instructions under which circumstances to contact the licensed nurse or licensed health care practitioner. 3. The individual on the department's nurse aide registry is observed by a licensed nurse administering the medication to the specific client until competency is demonstrated. 4. The individual on the department's nurse aide registry has been verified as competent by a licensed nurse through a variety of methods, including oral quizzes, written tests, and observation. The individual on the department's nurse aide registry must be verified as competent in the following areas: a. Knows the six rights for each medication for the specific client, which include right client, right medication, right dosage, right route, right time, and right documentation; b. Knows the name of the medication and common dosage; c. Knows the signs and symptoms of side effects for each medication; d. Knows when to contact the licensed nurse; e. Can administer the medication properly to the client; and f. Documents medication administration according to organization policy. 5. Documentation that the individual on the department's nurse aide registry has received the training related to the receipt of specific delegation of medication administration for each client must be maintained and updated when further instruction is received as necessary to implement a change.