Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 95 - ADMINISTRATION OF MEDICATIONS BY MEDICATION AIDES AND MEDICATION STAFF › Section 172-95-008 - DETERMINATION OF COMPETENCY FOR A MEDICATION AIDE OR MEDICATION STAFF TO PERFORM AN ADDITIONAL ACTIVITY

Current through June 17, 2024
Medication aides or medication staff may provide as needed
				  (PRN) medication, provide medication by an additional route, or participate in
				  monitoring if there is a written statement from a competent recipient,
				  caretaker, or licensed health care professional that the medication aide or
				  medication staff is competent to perform such duties. The following
				  documentation is required:
(A) For
				competent recipients, a statement indicating informed determination that each
				medication aide or medication staff who provides the additional activity is
				competent. In the situation of a competent recipient who is making their own
				determination of need and effectiveness regarding medications, written
				documentation is not required for as needed PRN medication or for participation
				in monitoring.
(B) For recipients
				who are not competent but for whom there are caretakers, a statement from the
				caretaker indicating their determination that a medication aide or medication
				staff is competent to provide the additional activity. Competency determination
				of the medication aide or medication staff by the caretaker must be determined
				on a recipient-specific basis and the documentation must be on an
				individual-specific basis for each medication aide or medication staff and not
				by title or job description.
(C)
				For recipients who are not competent and for whom there are not caretakers, a
				statement from a licensed health care professional stating their determination
				that a medication aide or medication staff is competent to provide the
				additional activity. This requirement must be met in one of the following
				methods:
(1) An entity which employs licensed
				health care professionals may identify on an individual basis or by written
				title and job description both the licensed health care professional who has
				made the competency determination and those medication aides and medication
				staff who have been determined competent for each additional activity
(2) An entity which does not employ licensed
				health care professionals must identify by name, profession, and license number
				the licensed health care professional who has made the competency determination
				and those medication aides and medication staff who have been determined
				competent for each additional activity. Such persons may be identified on an
				individual basis or by written title and job description; or
(3) A licensed health care professional who
				provides services directly to a recipient, rather than indirectly through
				entity employment or contract, must specify those medication aides and
				medication staff who have been determined competent to provide each additional
				activity. Such persons must be identified on an individual basis.