R156-31b-801. Medication Aide Certified - Formulary and Protocols

Under Subsection 58-31b-102(10)(b)(i), the formulary and protocols for an MAC to administer routine medications are as follows: (1) under the supervision of a licensed nurse, an MAC may: (a) administer over-the-counter medication; (b) administer prescription medications: (i) if expressly instructed to do so by the supervising nurse; and (ii) via the routes listed in Subsection 58-31b-102(16)(b); (c) turn oxygen on and off at a predetermined, established flow rate; (d) destroy medications per facility policy; (e) assist a patient with self-administration; and (f) account for controlled substances with another MAC or nurse physically present; (2) an MAC may not administer medication via the following routes: (a) central lines; (b) colostomy; (c) intramuscular; (d) subcutaneous; (e) intrathecal; (f) intravenous; (g) nasogastric; (h) nonmetered inhaler; (i) intradermal; (j) urethral; (k) epidural; (l) endotracheal; or (m) gastronomy or jejunostomy tubes; (3) an MAC may not administer the following kinds of medications: (a) barium and other diagnostic contrast; (b) chemotherapeutic agents, except oral maintenance chemotherapy; (c) medication pumps including client-controlled analgesia; or (d) nitroglycerin paste; (4) an MAC may not: (a) administer medication that requires nursing assessment or judgment before administration, through ongoing evaluation, or during follow-up; (b) receive written or verbal patient orders from a licensed practitioner; (c) transcribe orders from the medical record; (d) conduct patient or resident assessments or evaluations; (e) engage in patient or resident teaching activities regarding medications, unless expressly instructed to do so by the supervising nurse; (f) calculate drug doses, or administer any medication that requires a medication calculation to determine the appropriate dose; (g) administer the first dose of a new medication or a dosage change, unless expressly instructed to do so by the supervising nurse; or (h) account for controlled substances, unless assisted by another MAC or a nurse who is physically present; (5) under Section R156-31b-701a or R156-31b-701b, a nurse may refuse to delegate to an MAC the administration of medications to a specific patient or in a specific situation; and (6) a nurse practicing in a facility that: (a) is required to provide nursing services 24 hours a day may not supervise more than two MACs per shift; and (b) is not required to provide nursing services 24 hours a day may supervise up to four MACs per shift.