Certified Nursing Assistant Authorized Duties. , CNA Medication Administration, Medication Administration Outside the Scope of Practice of a CNA
RULE NOS.:RULE TITLES:
64B9-15.002Certified Nursing Assistant Authorized Duties.
64B9-15.0025CNA Medication Administration
64B9-15.0026Medication Administration Outside the Scope of Practice of a CNA
NOTICE OF CHANGE
Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 46 No. 244, December 17, 2020 issue of the Florida Administrative Register.
The change is in response to written comments submitted by the staff of the Joint Administrative Procedures Committee and discussion and subsequent vote by the Board at the public telephonic meeting held February 5, 2021.
64B9-15.002 Certified Nursing Assistant Authorized Duties.
(1) A certified nursing assistant shall provide care and assist residents with the following tasks related to the activities of daily living only under the general supervision of a registered nurse or licensed practical nurse:
(a) through (n) No change.
(o) Certfied nursing assistants who meet the training requirements of s. 464.2035(1), F.S., may be delegated medication administration to patients of a home health agency by a licensed registered nurse.
(p)(o) Tasks prior to associated with medication administration to a patient of a home health agency by a certfied nursing assistant that meets the training requirements of s. 464.2035(1), F.S., who has been delegated such tasks by a licensed registered nurse delegated to nursing assistants in home health prior to administration:
1. through 6. No change.
(q)(p) Tasks at the time of medication administration to a patient of a home health agency by a certfied nursing assistant that meets the training requirements of s. 464.2035(1), F.S., who has been delegated such tasks by a licensed registered nurse associated with medication administration delegated to certified nursing assistants in home health at the time of administration:
1. through 3. No change.
(r)(q) Tasks following medication administration to a patient of a home health agency by a certfied nursing assistant that meets the training requirements of s. 464.2035(1), F.S., who has been delegated such tasks by a licensed registered nurse associated with medication administration delegated to certified nursing assistants in home health following administration:
1. through 5. No change.
(s) (r) Tasks associated with out of date or discontinued medication delegated deligated to certified nursing assistants for a patient of a home health agency in a home health setting:
1. through 5. No change.
(t) (s) Tasks that meet the criteria of s. 464.0156, F.S. Any task delegated by a licensed registered nurse to a certified nursing assistant who has satisfactorily completed the training required by s. 464.2035, F.S., and who the licensed registered nurse has been determined to be competent to perform the assigned tasks.
(2) through (5) No change.
Rulemaking Authority 464.202, 464.203 FS. Law Implemented 464.202, 464.203, 464.0235 464.2085 FS. History-New 9-21-06, Amended 9-11-14, .
64B9-15.0025 CNA Medication Administration.
(1) With the exception of those aspects of medication administration deemed outside the scope of practice of the certified nursing assistant by Rule 64B9-15.0026, F.A.C., and subject to the approval of the home health agency with whom the certfied nursing assistant is employed, any certfied 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) through (4) No change.
(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 Rule 64B9-5.005, F.A.C. 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 teaching experience, and have 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 outlined in Rule 64B9-15.0025(3) and (8) 64B9-15.005, F.A.C. Such alternatives include:
(a) through (c) No change.
(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 64B9-15.011, F.A.C., 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 issuance of the proficiency statement.
Rulemaking Authority 464.2035(3) FS. Law Implemented 464.0156, 464.2035 FS. History–New_________.
64B9-15.0026 Medication Administration Outside the Scope of Practice of a CNA.
(1) Aspects of medication administration tasks associated with medication administration to a patient of within a home health agency by a certified nursing assistant who has been delegated such a task by a licensed registered nurse which are outside the scope of practice of the certfied nursing assistant and which shall not be performed by the certified nursing assistant include the following:
(a) through (e) No change.
(2) Although this rule limits the scope of practice of certified nursing assistants who meet the requirements of Rule 64B9-15.0025, F.A.C., authorized to administer medications to a patient of a home health agency as delegated by a registered nurse, it is appropriate for certified nursing assistants within a home health agency who are not authorized to administer medications to care for patients receiving such medications.
Rulemaking Authority 464.2035(3), FS. Law Implemented 464.0156, FS., 464.2035. History–New ____________.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Joe Baker, Jr., Executive Director, Board of Nursing, 4052 Bald Cypress Way, Bin #C02, Tallahassee, Florida 32399-3252; MQA.Nursing@flhealth.gov.
