Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-8 - MINIMUM STANDARDS FOR HOME HEALTH AGENCIES › Section 59A-8.0219 - Medication Administration

Current through Reg. 50, No. 138; July 16, 2024
(1) Medication
				Administration. The supervising or delegating nurse maintains responsibility
				for any medication administration task delegated to a home health aide or CNA
				pursuant to Sections 464.0156,
				464.2035,
				400.489, and
				400.490, F.S.
(a) Medication administration includes
				conducting any examination, including vital signs (temperature, blood pressure,
				heart rate, and/or respirations) for the proper administration of medication
				that the patient cannot perform personally and that can be performed by a
				licensed health care practitioner, or a home health aide or CNA as delegated by
				an RN.
(b) A home health aide or
				CNA may not administer medication to patients unless they have successfully
				completed a medication administration training course and obtained a current
				validation for the route by which the medication is administered in accordance
				with Rule 59A-8.0097, F.A.C.
(c) In cases wherein a home health aide or a
				CNA is delegated to administer medications, an assessment of the medications
				for which administration is to be provided shall be conducted by the registered
				nurse (RN) who delegated the task prior to the home health aide or CNA
				performing the task and upon any change in the patient's medication regiment.
				The assessment shall be documented in the patient's medical record for patients
				receiving medication administration from a home health aide or CNA.
1. The delegating nurse must ensure the home
				health aide or CNA administers the medication in accordance with their training
				and competency, and with the medication prescription.
2. Home health aides and CNAs who are
				validated to administer whole (not crushed) oral medication may give the
				medication in any dietary or nutritional food substance that facilitates
				swallowing, is tolerated by the patient and is not contrary to any prescribed
				diet, label warnings or known contraindications for the medication being
				given.
3. The home health aide or
				CNA must notify the supervising or delegating nurse of changes in the dosage,
				frequency or route of a medication. The nurse must verify the change and update
				the Medication Administration Record (MAR).
4. The supervising or delegating nurse is
				required to review the MAR every 60 days, or more frequently if needed, for
				each patient receiving medication administration from a home health aide or
				CNA. The MAR must be kept on record by the home health agency.
5. The home health aide and/or CNA must
				communicate changes in a patient's condition to the supervising or delegating
				nurse. The nurse must assess for unusual reactions to the medication or a
				significant change in the patient's health or behavior that may be caused by
				the medication, and must document such in the patient's record to be reported
				immediately to the patient's health care provider. Contact with the health care
				provider must also be documented in the patient's medical
				record.