Identification should include
- practices allowed
- may administer medications in ALFs licensed by the Virginia Department of Social Services (VDSS)
- may administer medications for no more than 120 days from the date of the letter from the VBON
- 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
- acts prohibited by the VBON
- may not administer medications in a nursing home
- may not transmit verbal orders for new prescription drugs 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 drug products, except insulin and glucagon
- may not administer intramuscular medications
- may not administer intravenous medications
- may not give medication by way of percutaneous endoscopic gastric tubes
- acts prohibited by the Virginia Board of Pharmacy (VBOP)
- may not transmit verbal orders for new prescription drugs to a pharmacy
- may not remove drugs or administer drugs from an emergency stat box provided by a pharmacy
- may not repackage or label medications of any kind
- prohibited by the DOSS
- may not administer medications in ALFs until registered with the VBON pursuant to regulations effective July 15, 2019
- must meet all regulatory requirements within one year of the effective date of new regulations
- other prohibited practices for medication aides
- 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.
Teacher Resource: 18VAC90-60-91. Requirements for Provisional Practice (https://law.lis.virginia.gov/admincode/title18/agency90/chapter60/section91/)
Process/Skill Questions:
- What are the observations that an MA should report?
- What are the legal or ethical consequences for practicing outside your scope of practice?
- Why is it important to review the facility job description before assuming the responsibilities of an MA?