Or. Admin. Code § 851-063-0070

Current through Register Vol. 63, No. 12, December 1, 2024

Section 851-063-0070 - Authorized Duties and Standards for Certified Medication Aide (CMA)

(1) Under supervision by a licensed nurse, a CMA may administer:

(a) Oral, sublingual and buccal medications;

(b) Eye medications with the exception of eye medications to new post-operative eye clients;

(c) Ear medications;

(d) Nasal medications;

(e) Rectal medications;

(f) Vaginal medications;

(g) Skin ointments, topical medications including patches and transdermal medications;

(h) Medications by gastrostomy and jejunostomy tubes;

(i) Premeasured medication delivered by Aerosol/Nebulizer; and

(j) Medications delivered by metered hand-held inhalers.

(2) Administration of PRN Medications. A CMA may administer PRN medications (including controlled substances) to stable clients according to physician's or nurse practitioner's orders in the following circumstances:

(a) In response to specific client requests:

(A) Client request must be reported to licensed nurse; and

(B) Client response must be reported to licensed nurse.

(b) At the direction of the licensed nurse, when:

(A) A licensed nurse assesses the patient prior to administration of the PRN medications; and

(B) A licensed nurse assesses the patient following the administration of the PRN medication.

(3) A CMA may:

(a) Administer regularly scheduled controlled substances;

(b) Jointly witness wasted controlled substances with a licensed nurse;

(c) Count controlled substances with a licensed nurse or another CMA;

(d) Perform capillary blood glucose (CBG);

(e) Turn oxygen on and off at predetermined, established flow rate;

(f) Add fluid to established jejunostomy or gastrostomy tube feedings and change established tube feeding bags; and

(g) Accept verbal or telephone orders for medication from a licensed health care professional who is authorized to independently diagnose and treat. Such acceptance can occur only when the CMA is working in the following settings under the specified administrative rules:

(A) Adult Foster Homes, as permitted under OAR Chapter 411, division 050;

(B) Residential Care Facilities, as permitted under OAR Chapter 411, division 054; and

(C) Assisted Living Facilities, as permitted under OAR Chapter 411, division 054.

(4) A CMA may not administer medications by the following routes:

(a) Central lines;

(b) Colostomy;

(c) Intramuscular;

(d) Intrathecal;

(e) Intravenous;

(f) Nasogastric;

(g) Nonmetered inhaler;

(h) Subcutaneous;

(i) Intradermal;

(j) Urethral;

(k) Epidural; or

(l) Endotracheal.

(5) A CMA may not administer the following kinds of medications:

(a) Barium and other diagnostic contrast media; or

(b) Chemotherapeutic agents except oral maintenance chemotherapy.

(6) A CMA may not administer medication by, nor assume responsibility for, medication pumps, including client controlled analgesia.

(7) A CMA may not act as a clinical teaching associate to a student in a medication aide education program.

(8) In a community-based care setting, a CMA may, as an unlicensed person, provide care as delegated or assigned by a licensed nurse.

(9) Standards of Care for a certified medication assistant. In the process of client care a CMA shall consistently apply standards set for CNAs and:

(a) Establish competency as a CMA;

(b) Maintain competency as a CMA;

(c) Perform within Authorized Duties;

(d) Follow written instructions of an individual authorized by law to independently diagnose and treat as transcribed in the medication administration record (MAR); and

(e) Accurately record on the MAR medications administered, medications withheld or refused and the reason why a medication was withheld or refused.

Or. Admin. Code § 851-063-0070

BN 6-1999, f. & cert. ef. 7-8-99; BN 3-2004, f. 1-29-04, cert. ef. 2-12-04; BN 7-2014, f. 12-3-14, cert. ef. 1/1/2015; BN 16-2021, amend filed 07/21/2021, effective 8/1/2021

Statutory/Other Authority: ORS 678.440, ORS 678.442, ORS 678.444 & ORS 678.445

Statutes/Other Implemented: ORS 678.440, ORS 678.442 & ORS 678.444