1. (a) The administration of medication is a specialized nursing task that may be delegated under the standards set out in 12 AAC 44.950, 12 AAC 44.960, and this section.

2. (b) Administration of medication may be delegated only to a

   1. (1) "home and community-based services provider" as defined in 7 AAC 43.1110(8);
   2. (2) "residential supported living services provider" as defined in 7 AAC 43.1110(15); or
   3. (3) "school setting provider"; in this paragraph, "school setting provider" means a person who is employed at a school that provides educational services to students age 21 or younger;
   4. (4) certified nurse aide employed by a long-term care facility licensed and certified by the section of health facilities licensing and certification, division of health care services, Department of Health; or
   5. (5) certified medical assistant.
3. (c) The person to whom the administration of medication is to be delegated must successfully complete a training course in administration of medication approved by the board. The training course in administration of medication approved by the board in this subsection will be reviewed by the board every two years.

4. (d) To delegate to another person the administration of routinely scheduled oral, topical, transdermal, nasal, inhalation, optic, otic, vaginal, or rectal medications to a patient the written instructions provided to the person under 12 AAC 44.950(a)(7) must also include

   1. (1) directions for the storage and administration of medication, including the brand and generic name of the medication, the dosage amount and proper measurement, timing of the administration, recording the administration, the expected outcome of administration, and any contraindications to administration;
   2. (2) possible interactions of medications;
   3. (3) how to observe and report side effects, complications, errors, missed doses, or unexpected outcomes of the medications and appropriate response to such developments; and
   4. (4) if the delegating nurse is not available on-site, the action that the person must take when medications are changed by order of a health care provider, including how to notify the delegating nurse of the change, how the delegating nurse will receive verification from the health care provider of the medication change, and how the nurse is to notify the other person if the administration of the change of medication is delegated.

5. (e) The administration of PRN medication, other than controlled substances, may be delegated under this section if a nurse is not available on-site. Before the administration of PRN medications may be delegated, the nurse shall first assess the patient to determine whether on-site patient assessment will be required before administration of each dose of PRN medication. The written instructions provided to the person under 12 AAC 44.950(a)(7) must meet the requirements of (d) of this section, and must also include

   1. (1) when to administer the PRN medication to the patient;
   2. (2) the procedure to follow for the administration of the PRN medication, including dosage amount, frequency, and duration; and
   3. (3) the circumstances under which the person should contact the delegating nurse.

(Eff. 10/14/2004, Register 172; am 11/4/2004, Register 172; am 12/23/2009, Register 192; am 12/27/2012, Register 204; am 8/10/2016, Register 219; am 2/26/2021, Register 238; am 7/18/2021, Register 239; am 5/8/2025, Register 254)