(a) General requirements. Staff must be certified in a medication administration training course approved by the Developmental Disabilities Services Division (DDSD) director of human resource development before administering medication(s) to a person receiving services or assisting with a person's medication support plan.
- (1) The DDSD director of human resource development may approve medication administration certification from another state if supplied with a copy of an acceptable course curriculum.
- (2) A currently licensed nurse whose primary responsibility is to perform skilled nursing services is exempt from the training requirements of this paragraph.
- (A) Licensed practical nurses (LPNs) and registered nurses (RNs) may administer medications in accordance with their training and the Oklahoma Nurse Practice Act.
- (B) The employer must maintain a copy of the nurse's license in the nurse's personnel file or make the license available for review.
- (3) Certification or re-certification to administer medications is valid for one year from the date of issuance.
- (A) If a person allows his or her medication administration certification to expire, he or she cannot administer medication(s) or assist with a medication support plan. If the person's certification has been expired for less than 60 days, the person's certification is renewed by taking the one-day update training.
- (B) If the person's medication administration certification has been expired for 60 days or more, the person does not administer medication(s) or assist with a medication support plan and must complete an approved initial medication administration class.
- (4) All provider agencies must:
- (A) establish written policies that assure compliance with the rules in this Section and with applicable federal and state laws;
- (B) provide documentation that staff have been given an in-service in agency-specific practices, including, but not limited to medication storage requirements, documentation forms, and procedures for a medication event, as defined in OAC 340:100-3-34; and
- (C) maintain a copy of each employee's current certification in that employee's personnel file.
(b) Medication administration training provided by provider agencies. DDSD provider agencies may conduct medication administration training under the conditions listed in this subsection.
- (1) Any provider agency wishing to conduct medication administration training or re-certification classes must submit the credentials of the prospective trainer(s) to the DDSD director of human resource development for approval. The provider agency is responsible for ensuring that the instructor adheres to the rules given in this Section.
- (A) The prospective instructor must be an RN or LPN working under the supervision of an RN.
- (i) The nurse's license must be current and active through the Oklahoma State Board of Nursing.
- (ii) Any exception to the requirement that the instructor be an RN or LPN must be approved in writing by the DDSD director of human resource development and the DDSD director of nursing.
- (B) Potential instructors with other types of medical experience or licensure may seek approval to teach medication administration training classes by submitting credentials to the DDSD director of human resource development.
- (C) Each instructor must request and receive approval every two years to teach medication administration training.
- (2) The DDSD director of nursing and director of human resource development must approve or deny the agency's request in writing. A letter designating approval of an instructor to conduct medication administration training must be maintained in the instructor's personnel file at the agency.
- (3) Approved instructors use only course materials approved by the DDSD director of human resource development.
- (4) Each participant in an initial medication training course receives an approved training manual to keep for future use.
- (5) Each agency approved to provide medication administration training must implement an internal monitoring system, subject to DDSD random review, to review and document the consistency of the training and use of the approved curriculum.
- (6) All medication administration training must be conducted according to the specific requirements of the course, the rules in this Section, and DDSD training rules, OAC 340:100-3-38.
- (7) Instructors provide Certificate Number C-0226, Certificate of Medication Administration Training, based on the competency criteria given in this paragraph.
- (A) Each person must satisfactorily complete the course with a minimum passing score of 85 percent for each test or subtest. If a person does not achieve a score of at least 85 percent after taking the exam two times, the class must be repeated.
- (B) The instructor is responsible for administering a written test to each participant and directly observing completion of the test.
- (8) The agency providing the training sends documentation of completed medication administration training to the area DDSD Human Resource Development Unit within one week of the completed training. Documentation must include the:
- (A) name of the agency providing the training;
- (B) name(s) of the instructor(s);
- (C) name of the training, whether initial medication administration training or update;
- (D) date(s) of the training;
- (E) names and Social Security numbers of the participants;
- (F) name of the agency employing each participant; and
- (G) pass or fail status of each participant.
- (9) The DDSD director of nursing and director of human resource development may revoke the approval of an instructor to provide medication training for violation of the rules in this Section.