Florida Regulations 64B9-15.0025: CNA Medication Administration
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(1) With the exception of those aspects of medication administration deemed outside the scope of practice of the certified nursing assistant by Fl. Admin. Code R. 64B9-15.0026, and subject to the approval of the home health agency with whom the certified nursing assistant is employed, any certified nursing assistant who meets the requirements of this rule is authorized to administer medications to a patient of a home health agency as delegated by a registered nurse.
(2) A certified nursing assistant shall complete an initial six-hour Board approved training course on medication administration and be documented to be competent in the safe and sanitary administration of medication by a registered nurse licensed under Florida Statutes Chapter 464, a physician licensed under Florida Statutes Chapter 458, or an osteopathic physician licensed under Florida Statutes Chapter 459
(3) The initial six-hour training course curriculum shall include:
(a) A glossary of common terminology for labeling of legend medications.
(b) Safe administration of oral, transdermal, ophthalmic, otic, rectal, inhaled, enteral, and topical prescription and over-the-counter medications.
(c) Record keeping and documentation of medication administration.
(d) Safe storage and proper disposal of medications.
(e) Prevention of medication errors.
(f) Home health care agency policies and procedures regarding medications.
(g) Recognizing, documenting and reporting adverse reactions to medications.
(4) Upon completion of the initial six-hour training course, the certified nursing assistant shall be assessed on both theoretical knowledge and practice, as well as clinical practice and competence. The clinical practice assessment must be witnessed by a registered nurse who shall validate the competency regarding the certified nursing assistant’s ability to safely administer medications.
(5) Providers: The initial six-hour certified nursing assistant medication administration training course must be sponsored by a provider of continuing education courses approved by the Board pursuant to Fl. Admin. Code R. 64B9-5.005 To be qualified to teach any such course, the instructor must be a currently licensed registered nurse in good standing in this state, have at least one year of experience teaching adults, and at least one year of professional nursing experience, including one year home health care and the supervision of certified nursing assistants. The provider will be responsible for issuing a certificate verifying completion of the requisite number of hours and course content.
(6) Nontraditional Education. Continuing education providers may select nontraditional education alternatives for acquisition of theoretical content in subsections 64B9-15.0025(3) and (8), F.A.C. Such alternatives include:
(a) Interactive videos,
(b) Self study,
(c) Other nontraditional education that may be submitted to the Board for consideration and possible approval. Any continuing education providers using nontraditional education must make provisions for demonstration of and verification of knowledge.
(7) Clinical Competence. The course must be followed by supervised clinical practice in medication administration as needed to demonstrate clinical competence. Verification of clinical competence shall be the responsibility of each institution employing a certified nursing assistant based on institutional protocol. Such verification shall be given through a signed statement of a Florida licensed registered nurse with knowledge of the certified nursing assistant’s competence.
(8) In addition to other inservice training hours required under Fl. Admin. Code R. 64B9-15.011, certified nursing assistants found to be competent to administer medications shall annually and satisfactorily complete two (2) hours of inservice training in medication administration and medication error prevention approved by the Board. The initial two (2) hours annual inservice training shall be completed within one year of verification of clinical competence.
Rulemaking Authority Florida Statutes § 464.2035(3). Law Implemented 464.0156, 464.2035 FS. History-New 7-15-21.
(2) A certified nursing assistant shall complete an initial six-hour Board approved training course on medication administration and be documented to be competent in the safe and sanitary administration of medication by a registered nurse licensed under Florida Statutes Chapter 464, a physician licensed under Florida Statutes Chapter 458, or an osteopathic physician licensed under Florida Statutes Chapter 459
(3) The initial six-hour training course curriculum shall include:
(a) A glossary of common terminology for labeling of legend medications.
(b) Safe administration of oral, transdermal, ophthalmic, otic, rectal, inhaled, enteral, and topical prescription and over-the-counter medications.
(c) Record keeping and documentation of medication administration.
(d) Safe storage and proper disposal of medications.
(e) Prevention of medication errors.
(f) Home health care agency policies and procedures regarding medications.
(g) Recognizing, documenting and reporting adverse reactions to medications.
(4) Upon completion of the initial six-hour training course, the certified nursing assistant shall be assessed on both theoretical knowledge and practice, as well as clinical practice and competence. The clinical practice assessment must be witnessed by a registered nurse who shall validate the competency regarding the certified nursing assistant’s ability to safely administer medications.
(5) Providers: The initial six-hour certified nursing assistant medication administration training course must be sponsored by a provider of continuing education courses approved by the Board pursuant to Fl. Admin. Code R. 64B9-5.005 To be qualified to teach any such course, the instructor must be a currently licensed registered nurse in good standing in this state, have at least one year of experience teaching adults, and at least one year of professional nursing experience, including one year home health care and the supervision of certified nursing assistants. The provider will be responsible for issuing a certificate verifying completion of the requisite number of hours and course content.
(6) Nontraditional Education. Continuing education providers may select nontraditional education alternatives for acquisition of theoretical content in subsections 64B9-15.0025(3) and (8), F.A.C. Such alternatives include:
(a) Interactive videos,
(b) Self study,
(c) Other nontraditional education that may be submitted to the Board for consideration and possible approval. Any continuing education providers using nontraditional education must make provisions for demonstration of and verification of knowledge.
(7) Clinical Competence. The course must be followed by supervised clinical practice in medication administration as needed to demonstrate clinical competence. Verification of clinical competence shall be the responsibility of each institution employing a certified nursing assistant based on institutional protocol. Such verification shall be given through a signed statement of a Florida licensed registered nurse with knowledge of the certified nursing assistant’s competence.
(8) In addition to other inservice training hours required under Fl. Admin. Code R. 64B9-15.011, certified nursing assistants found to be competent to administer medications shall annually and satisfactorily complete two (2) hours of inservice training in medication administration and medication error prevention approved by the Board. The initial two (2) hours annual inservice training shall be completed within one year of verification of clinical competence.
Rulemaking Authority Florida Statutes § 464.2035(3). Law Implemented 464.0156, 464.2035 FS. History-New 7-15-21.