Identification should include
- practices allowed
- may administer medications in ALFs licensed by the VDSS
- may administer medications for no more than 120 days from the date of the letter from the VBON (provisional medication aide)
- may administer medications which a client would normally self-administer
- may administer insulin injections as ordered by a prescriber and as would normally be self-administered by a client
- may administer epinephrine auto-injectors and glucagon as ordered by prescriber, in emergency situations
- observe and report any abnormal findings to supervisor/designee
- acts prohibited by the VBON
- may not administer medications in a nursing home
- may not transmit verbal orders for new prescription medications to a pharmacy
- may not assess a client
- may not deviate from the medication regime ordered
- may not mix, dilute, or reconstitute two or more medication products, except insulin and glucagon
- may not administer intramuscular medications
- may not administer intravenous medications
- may not give medication by way of percutaneous endoscopic gastrostomy (PEG) tubes
- acts prohibited by the Virginia Board of Pharmacy (VBOP)
- may not transmit verbal orders for new prescription medications to a pharmacy
- may not remove medications or administer medications from an emergency stat box provided by a pharmacy
- may not repackage or label medications of any kind
- acts prohibited by the DOSS
- may not administer medications in ALFs until registered with the VBON and/or granted provisional practice
- must meet all regulatory requirements within one year of the effective date of new regulations
- other prohibited practices for MAs
- may not give medications which have been poured by another person
- may not pour medication for another person to give
- may not pre-pour medications for anyone (including oneself)
- may not label or change the label of a medication
- may not write prescriptions or order new medications
- may not administer medications to clients until all requirements for training and certification are met.
Process/Skill Questions:
- What are the observations that an MA should report?
- What are the legal or ethical consequences for practicing outside one’s scope of practice?
- Why is it important to review the facility job description before assuming the responsibilities of an MA?
Teacher Resource:
18VAC90-60-91. Requirements for provisional practice., Administrative Code, Code of Virginia