1. (a) A RN may delegate to medication aides the administration of medication to clients in long term care facilities and home health agencies if:

   1. (1) the medication aide holds a valid permit issued by the appropriate state agency to administer medications in that facility or agency;
   2. (2) the RN assures that the medication aide functions in compliance with the laws an regulations of the agency issuing the permit; and
   3. (3) the route of administration is oral, via a permanently placed feeding tube, sublingual or topical including eye, ear or nose drops and vaginal or rectal suppositories.

2. (b) The following tasks may not be delegated to the Medication Aide Permit Holder unless allowed and in compliance with Chapter 225 of this title (relating to RN Delegation to Unlicensed Personnel and Tasks not Requiring Delegation in Independent Living Environments for Clients with Stable and Predictable Conditions):

   1. (1) calculation of any medication doses except for measuring a prescribed amount of liquid medication and breaking a tablet for administration, provided the RN has calculated the dose;
   2. (2) administration of the initial dose of a medication that has not been previously administered to the client;
   3. (3) administration of medications by an injectable route except as permitted for administration of insulin under §225.11 of this title (relating to Delegation of Administration of Medications From Pill Reminder Container and Administration of Insulin);
   4. (4) administration of medications used for intermittent positive pressure breathing or other methods involving medication inhalation treatments except as permitted in §225.10(10)(E) of this title (relating to Tasks That May Be Delegated).
   5. (5) administration of medications by way of a tube inserted in a cavity of the body except as stated in §225.11 of this title.
   6. (6) responsibility for receiving verbal or telephone orders from a physician, dentist, or podiatrist; and
   7. (7) responsibility for ordering a client's medication from the pharmacy.

Source Note:The provisions of this §224.9 adopted to be effective February 19, 2003, 28 TexReg 1384.