1. Administration of the initial dose of a medication that has not been previously administered to the client must be administered according to organization policy.

2. Conversion or calculation of a medication dosage must be verified with a licensed nurse.

3. Medication assistants III may administer medications by the following routes to individuals or groups of individuals with stable, predictable conditions according to organization policy: a. Oral, sublingual, and buccal medications; b. Eye medications; c. Ear medications; d. Nasal medications; e. Rectal medications and enemas; f. Vaginal medications; g. Skin ointments, topical medications, including patches and transdermal medications; h. Metered hand-held inhalants; i. Unit dose nebulizers; j. Intramuscular injections; k. Subcutaneous injections; l. Intradermal injections; m. Gastrostomy; n. Jejunostomy; o. Nasogastric tube; p. Nonmetered inhaler; and q. Non-unit dose aerosol or nebulizer.

4. Medication assistants III may not administer medications by the following routes: a. Central lines; b. Colostomy;

c. Intravenous; d. Intravenous lock; or e. Urethral catheter.

5. Medication assistants III may not administer the following kinds of medications: a. Barium and other diagnostic contrast media; b. Chemotherapeutic agents except oral maintenance chemotherapy; or c. Through any medication pumps, nor assume responsibility for medication pumps, including client-controlled analgesia.

History: Effective May 1, 1999; amended effective April 1, 2004; August 1, 2005; July 1, 2008; October 1, 2011; April 1, 2014.

General Authority: NDCC 43-12.1-08

Law Implemented: NDCC 43-12.1-08(1)