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Certified Medication Assistant

Certified Medication Assistant. Starting a Program Pamela K. Randolph RN MS Associate Director Education and EBR Arizona State Board of Nursing. Objectives. Identify qualifications of students, facilities, and faculty eligible to participate in CMA education List CMA course requirements

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Certified Medication Assistant

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  1. Certified Medication Assistant Starting a Program Pamela K. Randolph RN MS Associate Director Education and EBR Arizona State Board of Nursing

  2. Objectives • Identify qualifications of students, facilities, and faculty eligible to participate in CMA education • List CMA course requirements • Explicate the steps involved in starting a CMA program • Discuss the importance of a culture of safety when implementing the CMA role

  3. Eligible Providers • Accredited by the Private Post Secondary Board—post-secondary institution • Regionally or nationally accredited post-secondary institution • Licensed long-term care facility

  4. Faculty qualifications • Must be RN with • Unrestricted license and • At least 40 hours of experience administering medications to long-term residents

  5. Student qualifications • Students must • Have completed High School • Demonstrate English language proficiency if educated in foreign country • Be 18 years or older • Be a CNA in good standing and • Have worked as a CNA for at least 6 months • Demonstrated ability in math and reading comprehension

  6. Program Completion • Either Complete • Approved AZ CMA program • Equivalent CMA program in another state • Equivalent portion of RN or LPN program • Successfully pass a 45 hours pharmacology course • 40 hours of medication administration in a licensed long term care facility • Successfully completed a nursing clinical course

  7. Testing • Pass written and manual skills test administered by D and S technologies

  8. Curriculum • 100 hours • 45 hours theory • 15 hours skill practice • 4 unit tests plus a comprehensive final • 75% on each test and 80% on final • 40 hours of progressive clinical practice • 1:1 for first 12 hours with instructor • 1:3 for next 12 hours • 16 hours under general supervision of instructor at 1:5 ratio or less

  9. Course Guide—Board provided • General Policies provided • Medication administration protocols provided • Objectives and content provided

  10. Steps to Success • Decision to provide—feasibility; safety • Partners—Community college/facility; outside entity • Secure qualified instructor • Facility contract • Extra instructors at facility to help with clinical • Review guidelines and curriculum • Select text and other resources • Determine appropriate reading for each unit • Prepare didactic sessions • Develop item pool for exams—keep secure

  11. Steps to Success--Continued • Develop course policies • Set tuition—financial policies • Select screening tool and passing standard—TABE is used at community colleges—partnership could be developed for centralized screening • Submit course application to State Board of Nursing

  12. Questions ? • PSMT sites must re-apply to be a CMA site—May finish any training in progress • Suggested textbooks in course guidelines

  13. Safety • It is not a question of “is the CMA safe” • It is a question of “under what conditions can a licensed nurse safely delegate to a CMA?”

  14. Conditions • Culture of the organization • Is safety a priority? • How do you currently ensure that residents are administered medications safely? • How rapid is the response from your pharmacy? • How involved will licensed nurses be in the oversight of medication administration? • Is efficiency prized above safety?

  15. Oversight • All medications must be delegated by licensed nurse • Cannot delegate: • PRNs except OTC analgesics/bowel meds at the direction of the nurse following assessment • The first dose of a new med or if a currrent med has changed the dose • Parenteral medications including patches and sublingual medications • Medications inserted into G or NG tubes • Oxygen/inhalant medications • Any medication that requires mathematic conversion between dosage systems • Where delegation would pose a risk

  16. Delegating Nurse • Must be made aware of • Omitted medications that are not available from pharmacy • Refused medications • Crushing of tablets (must approve) • Requests for PRNs and document an assessment and evaluation of response

  17. Summary • Course, instructor and student requirements are prescribed in statute • Programs must test prospective students and develop assignments/tests related to curriculum • A culture of safety in the institution will protect residents/nurses/ and CMAs

  18. Contact • Pamela Randolph Associate Director Education and Evidence-based Regulation prandolph@azbn.gov 602-771-7803

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