Source: http://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb4287%20intr.htm&yr=2014&sesstype=RS&i=4287
Timestamp: 2018-03-19 03:50:36
Document Index: 616368288

Matched Legal Cases: ['§16', '§16', '§16', '§16', '§16', '§16', '§16', '§16', '§ 16', '§ 30', '§16', '§30']

(By Delegates Fleischauer, Marshall, Barill,
Manypenny, Fragale, Campbell, Pasdon,
Mr. Speaker (Mr. Miley), White,
Pethtel and Tomblin)
[Introduced January 24, 2014; referred to the Committee on Health and Human Resources.]
A BILL to amend and reenact §16-5O-2, §16-5O-3, §16-5O-5, §16-5O-6, §16-5O-7, §16-5O-8, §16-5O-10 and §16-5O-12, of the Code of West Virginia, 1931, as amended, relating to the performance of certain functions by approved medication assistive personnel.
(1) Assisting a person in the ingestion, application or inhalation of medications, including prescription drugs, or in the use of universal precautions or rectal or vaginal insertion of medication, according to the legibly written or printed directions of the attending physician or authorized practitioner in accordance with section four, article five, chapter thirty of this code, or as written on the prescription label; and
(b) “Approved medication assistive personnel (AMAP)” means unlicensed facility staff member, who meets eligibility requirements, has successfully completed the required training and competency testing, and is considered competent by the authorized registered professional nurse to administer medications or perform health maintenance tasks, or both, to residents of the facility in accordance with W. Va. Code § 16-5O-1 et seq.
(c) “Authorized registered professional nurse” means a person who holds an unencumbered license pursuant to W. Va. Code § 30-7-1 et seq., and meets the requirements to train and supervise approved medication assistive personnel pursuant to this article and W.Va. Code §16-5O-1 et seq., and has completed and passed the facility trainer/instructor course developed by the authorizing agency.
(b) (d) "Authorizing agency" means the Office of Health Facility Licensure and Certification within the department of Health and Human Resources.
(e) “Delegation” means transferring to a competent individual, as determined by the registered professional nurse, the authority to perform a selected task in a selected situation.
(f) "Delegation decision model" means the process the authorized registered professional nurse must follow to determine whether or not to delegate a nursing task to an approved medication assistive personnel. The delegation decision model is approved by the West Virginia Board of Examiners for Registered Professional Nurses.
(c) (g) "Department" means the Department of Health and Human Resources.
(d) (h) "Facility" means an intermediate care facility for individuals with an intellectual disability, assisted living, behavioral health group home, private residence in which health care services and health maintenance tasks are provided under the supervision of a registered professional nurse as defined in article seven, chapter thirty of this code.
(e) (i) "Facility staff member" means an individual employed by a facility but does not include a health care professional acting within his or her scope of practice.
(j) “Family” means biological parents, adoptive parents, foster parents, or other immediate family members living within the same household.
(f) (k) "Health care professional" means a medical doctor or doctor of osteopathy, a podiatrist, registered professional nurse, practical nurse, advanced practice registered nurse, physician's assistant, dentist, optometrist or respiratory care professional licensed under chapter thirty of this code.
(g) (l) “Health maintenance tasks” means performing the following tasks according to the legibly written or printed directions of a physician licensed under the provisions of article two-A, chapter thirty of this code or article fourteen, chapter thirty of this code, or other an authorized practitioner, or as written on the prescription label, and making a written record of that assistance with regard to each health maintenance task administered, including the time, route and amount taken:
(m) "Immediate family" means mother, stepmother, father, stepfather, sister, stepsister, brother, stepbrother, spouse, child grandparent and grandchildren.
(h) (n) “Location of medication administration or location where health maintenance tasks are performed” means a facility or location where the resident requires administration of medication or assistance in taking medications or the performance of health maintenance tasks.
(i) (o) “Medication” means a drug, as defined in section one hundred one, article one, chapter sixty-a of this code, which has been prescribed by a authorized health care professional an authorized practitioner to be ingested through the mouth, inhaled through the nose or mouth, administered through a gastrostomy tube, applied to the outer skin, eye or ear, or applied through nose drops, vaginal or rectal suppositories.
(p) “Natural supports” means family, friends, neighbors or anyone who provides assistance and support to a resident but is not reimbursed.
(j) (q) "Registered professional nurse" means a person who holds a valid license pursuant to article seven, chapter thirty of this code.
(k) (r) "Resident" means a resident of a facility who for purposes of this article, is in a stable condition.
(l) (s) "Secretary" means the Secretary of the department of Health and Human Resources or his or her designee.
(m) (t) “Self-administration of medication” means the act of a resident, who is independently capable of reading and understanding the labels of drugs ordered by a physician an authorized practitioner, in opening and accessing prepackaged drug containers, accurately identifying and taking the correct dosage of the drugs as ordered by the physician authorized practitioner, at the correct time and under the correct circumstances.
(n) (u) “Self-administration of medication with assistance” means assisting residents who are otherwise able to self administer self-administer their own medications except their physical disabilities prevent them from completing one or more steps in the process.
(p) (v) “Stable” means the individual’s medical health condition is predictable and consistent as determined by the registered professional nurse.
(q) (w) “Supervision of self-administration of medication” means a personal service which includes reminding residents to take medications, opening medication containers for residents, reading the medication label to residents, observing residents while they take medication, checking the self administered self-administered dosage against the label on the container and reassuring residents that they have obtained and are taking the dosage as prescribed.
(a) The secretary shall establish and implement a program for the administration of medications and performance of health maintenance tasks in locations covered by this article. The program shall be developed and conducted in cooperation with the appropriate agencies, advisory bodies and boards.
(c) After assessing the health status of an individual resident, a registered professional nurse, in collaboration with the resident’s attending physician authorized practitioner and the facility staff member, may recommend that the facility authorize a facility staff member to administer medication or perform health maintenance tasks if the staff member:
(d) An agency or facility employing a health care provider an authorized registered nurse licensed pursuant to the provisions of chapter thirty of this code for the purposes of supervising the administration of medication or performance of health maintenance tasks shall maintain liability insurance for the licensed health care provider and any facility staff member who has been trained and is employed to administer medication or perform health maintenance tasks pursuant to this article.
(a) The Office of Health Facility Licensure and Certification authorizing agency shall establish a council of nurses to represent the facilities and registered professional nurses affected by this article. The council shall prepare a procedural manual and recommendations regarding a training course to the secretary. The council shall meet every two years to review the training curricula, competency evaluation procedures and rules implemented by the secretary, and shall make recommendations as deemed necessary.
(b) The department shall develop and approve training curricula and competency evaluation procedures for facility staff members who administer medication or perform health maintenance tasks pursuant to this article. The department shall consider the recommendations of the council and shall consult with the West Virginia Board of Examiners for Registered Nurses in developing the training curricula and competency evaluation procedures.
(c) The authorizing agency shall coordinate and collaborate with the Board of Respiratory Care to develop training and testing component for health maintenance tasks related to respiratory care, including but not limited to inhaled medications, tracheostomy care and ventilator care. This includes modifying and updating the existing curriculum for RN AMAP delegators and AMAPs.
(2) The curriculum, training competency and testing components related to respiratory care must be approved by the WV Respiratory Care Board per §30-34-15(e).
(1) Possess a current active West Virginia license as set forth in article seven chapter thirty of this code in good standing to practice as a registered nurse;
(3) The facility staff member has had a criminal background check or if applicable, a check of the State Police abuse registry, establishing that the individual has been convicted of no crimes against persons or drug related crimes;
(a) Any facility in which medication is administered or health maintenance tasks performed by unlicensed personnel the approved medication assistive personnel shall establish an administrative monitoring system in administrative policy. The specific requirements of the administrative policy shall be established by the department, through legislative rules. These rules shall be developed in consultation with the West Virginia Board of Examiners for Registered Nurses, the West Virginia Nurses Association, the West Virginia Statewide Independent Living Council, and the West Virginia Board of Respiratory Care. These rules are required to include, at a minimum, instructions on protocols for contacting an appropriate healthcare professional in situations where a condition arises which may create a risk to the resident’s health and safety. These rules shall also include the type and frequency of monitoring and training requirements for management of these occurrences.
(d) No medications ordered by the physician or a health care professional with legal prescriptive authority authorized practitioner to be given “as needed” may be administered unless the order is written with specific parameters which preclude independent judgment; and,
(K) The Office Director of the Office of Health Facility Licensure and Certification within the Department of Health and Human Resources.
(2) The advisory committee shall also include the cochairs of the Joint Standing Committee on Health, or their designees as five nonvoting members. as follows: