Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 84 - Training Program for Nursing Assistants › Section 19 CSR 30-84.040 - Insulin Administration Training Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the requirements for
				  approval of an insulin administration training program, designates the required
				  course curriculum content, outlines the qualifications required of students and
				  instructors and outlines the testing and records requirements.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) The Insulin Administration Training
				Program shall be administered by the Department of Health and Senior Services
				(the department) in order to prepare medication technicians in a skilled
				nursing facility (SNF) or intermediate care facility (ICF), or medication aides
				in a residential care facility (RCF) or an assisted living facility (ALF) to
				administer insulin. The program shall be designed to present information on
				diabetes as it relates to symptoms and implications of proper or improper
				treatment, and to teach skills in insulin administration in order to qualify
				students to perform this procedure in long-term care (LTC) facilities in
				Missouri. All aspects of the Insulin Administration Training course included in
				this rule shall be met in order for the program to be approved.
(2) The course shall consist of at least four
				(4) hours of classroom instruction by an approved instructor and shall include
				a final written and practicum examination. The practicum examination shall not
				be conducted in a simulated situation.
(3) The curriculum content shall include
				procedures and instruction in the following areas: diabetes and its treatment
				and complications, types of insulin, technique of insulin administration and
				methods of monitoring blood sugar levels.
(4) The manual entitled
Insulin
				Administration
(50-6080-S and 50-6080-I), 2001 edition, produced by
				the Instructional Materials Laboratory, University of Missouri-Columbia, which
				is incorporated by reference in this rule, and available through the Department
				of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570, shall
				be considered the approved course curriculum. This rule does not incorporate
				any subsequent amendments or additions to the materials incorporated by
				reference. Students and instructors shall each have a copy of the
				manual.
(5) A student shall not
				administer insulin without the instructor present until s/he has successfully
				completed the course.
(6) Student
				Qualifications.
(A) Any level I medication
				aide working in an RCF or ALF, who is recommended in writing for training by an
				administrator/manager or nurse with whom s/he has worked shall be eligible to
				enroll as a student in this course.
(B) Any certified medication technician who
				is recommended in writing for training by the administrator or director of
				nursing with whom s/he has worked shall be eligible to enroll as a student in
				this course. The letter of recommendation shall be given to the training agency
				or instructor at enrollment.