Section R156-31b-801 - Medication Aide Certified - Formulary and ProtocolsUnder Subsection 58-31b-102(10)(b)(i), the formulary and protocols for a MAC to administer routine medications are as follows:
(1) under the supervision of a licensed nurse, a MAC may:(a) administer over-the-counter medication;(b) administer prescription medications:(i) if expressly instructed to do so by the supervising nurse; and(ii) via the routes listed in Subsection 58-31b-102(16)(b);(c) turn oxygen on and off at a predetermined, established flow rate;(d) destroy medications per facility policy;(e) assist a patient with self administration; and(f) account for controlled substances with another MAC or nurse physically present;(2) a MAC may not administer medication via the following routes: (m) gastronomy or jejunostomy tubes;(3) a MAC may not administer the following kinds of medications: (a) barium and other diagnostic contrast;(b) chemotherapeutic agents, except oral maintenance chemotherapy;(c) medication pumps including client controlled analgesia; and(4) a MAC may not:(a) administer medication that requires nursing assessment or judgment before administration, through ongoing evaluation, or during follow-up;(b) receive written or verbal patient orders from a licensed practitioner;(c) transcribe orders from the medical record;(d) conduct patient or resident assessments or evaluations;(e) engage in patient or resident teaching activities regarding medications, unless expressly instructed to do so by the supervising nurse;(f) calculate drug doses, or administer any medication that requires a medication calculation to determine the appropriate dose;(g) administer the first dose of a new medication or a dosage change, unless expressly instructed to do so by the supervising nurse; or(h) account for controlled substances, unless assisted by another MAC or a nurse who is physically present;(5) under Section R156-31b-701a or R156-31b-701b, a nurse may refuse to delegate to a MAC the administration of medications to a specific patient or in a specific situation; and(6) a nurse practicing in a facility that: (a) is required to provide nursing services 24 hours a day may not supervise more than two MACs per shift; and(b) is not required to provide nursing services 24 hours a day may supervise up to four MACs per shift.Utah Admin. Code R156-31b-801
Amended by Utah State Bulletin Number 2022-01, effective 12/27/2021Amended by Utah State Bulletin Number 2024-01, effective 12/28/2023