DHS 129.26(1)(1) The Department will review substandard quality of care citations made under 42 CFR 483 that result in a prohibition of a nurse aide training or competency evaluation program for a nursing home, in order to determine the appropriate action for a medication aide training program. Program decisions will be made on a case-by-case basis. DHS 129.26(2)(2) Any nursing home citation that directly relates to a medication aide training program may result in termination by the department of the medication aide training program. DHS 129.26(3)(3) A medication aide training program may request a waiver of the medication aide training program prohibition by submitting a request in writing to the department. The department will issue a written decision, either approving or denying the request, within 45 calendar days of receiving a complete waiver request. DHS 129.26 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08. DHS 129.27DHS 129.27 Hospice medication aide training program approval process. DHS 129.27(1)(1) All medication aide training programs for hospice agencies shall be approved by the department. DHS 129.27(2)(2) Entities wishing to operate a hospice medication aide training program shall submit a course syllabus, course curriculum, text book, list of students, proof of all student qualifications and course instructors’ names and qualifications to the department for approval. DHS 129.27 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08. DHS 129.28DHS 129.28 Standards for instructors of hospice medication aide training programs. A hospice medication aide program instructor shall be one of the following: DHS 129.28(1)(1) A registered nurse, licensed in Wisconsin, with one or more years experience as an instructor in a school of nursing or other educational institution. DHS 129.28(2)(2) A registered nurse, licensed in Wisconsin, with 2 or more years experience as a director of nursing. DHS 129.28(3)(3) A registered nurse, licensed in Wisconsin, with one or more years experience as an in-service director in a health care provider. DHS 129.28(4)(4) A pharmacist licensed in Wisconsin, with one or more years experience as a hospice consultant. DHS 129.28(5)(5) An other health care professional the department approves. DHS 129.28 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08. DHS 129.29DHS 129.29 Hospice medication aide student qualifications. DHS 129.29(1)(1) Student requirements. The student shall be at least 18 years of age at the completion of the course, have a high school diploma or high school equivalency diploma, be listed on the registry, and be eligible to work in a federally-certified facility. Nurse aides who have completed the 100-hour nursing home medication aide program are deemed to meet the hospice medication aide program requirements. DHS 129.29(2)(2) Work experience. The student shall be employed as a nurse aide by a hospice agency and shall complete 2,000 hours in direct patient care within the 3 years immediately preceding the start of the course or by the end of the course. DHS 129.29(3)(3) Written recommendation. The student shall be recommended in writing by the hospice administrator, and by a registered nurse who is working with the nurse aide. DHS 129.29 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08. DHS 129.30DHS 129.30 Standards for hospice medication aide training programs. DHS 129.30(1)(a)(a) Minimum requirements. A training program shall include the following 6 areas specified in pars. (b) to (h). DHS 129.30(1)(c)1.1. Federal and state hospice standards, regulations, statutes, and administrative rules. DHS 129.30(1)(c)2.2. Standards of Practice for Registered Nurses and Licensed Practical Nurses, ch. N 6 specific to registered nurse delegation. DHS 129.30(1)(d)(d) Overview of body systems related to the routes of medication administration and the classes of medications. DHS 129.30(1)(d)1.1. Anatomy of body structures that pertain to medication administration, including structure of the eye, ear, nose, mouth, vagina, rectum, and skin, which are necessary to administer medication correctly via these routes. DHS 129.30(1)(d)2.2. Functions of these body structures that impact medication administration and effectiveness. DHS 129.30(1)(d)3.3. Diseases of these body structures that impact medication administration and medication effectiveness. DHS 129.30 NoteNote: Examples of anatomy, function and diseases are provided in the curriculum development guide.
DHS 129.30(1)(e)3.3. Dosage forms, including pills, capsules, ointments, patches, and suppositories. DHS 129.30 NoteNote: Chemotherapy is not part of the basic medication aide course.
DHS 129.30(1)(f)1.1. Techniques and procedures of various routes of medication administration. DHS 129.30 NoteNote: Injections, medications administered via a tube, nebulizers, and oxygen routes will not be evaluated as part of the basic hospice medication aide curriculum.
DHS 129.30(1)(f)2.2. Six “rights” of medication administration including right patient, right drug, right dose, right route, right time, and right documentation. DHS 129.30(1)(g)(g) Observations and reporting. Requirements for timely reporting and documenting the administration of all medication, including the need for PRN medications and the patient’s response, refusal to take medication, omission of medications, errors in the administration of medication and drug reactions and any change in the condition of a patient. DHS 129.30(2)(a)(a) The class facilities shall be of sufficient size and structure so as to allow adequate space and equipment to instruct the students. DHS 129.30(2)(b)(b) The total number of students in any one class shall not exceed 24. DHS 129.30(3)(3) Course structure. The program shall have a minimum of 40 hours of instruction of which 32 hours is lecture and 8 hours of which is quizzes, final examination and practicum. The 32 hours of lecture shall contain hands-on and demonstrations of the appropriate techniques of medication administration. The program will not be approved as a prerecorded video-based program; however, videos internet and other technology can be used to supplement the classroom instruction. DHS 129.30(4)(a)(a) The program shall have a minimum of 6 quizzes. The student shall achieve an average of 85 percent on the quizzes in order to take the final written examination. DHS 129.30(4)(b)(b) The student shall achieve a grade of 85 percent or better on the final written examination to take the practicum. A student may be permitted one retake of the final written examination. Any retake shall occur at least 3 months after the student first took the final written examination. DHS 129.30 NoteNote: The final written examination is a state-generated examination and is administered by the department or its designee.
DHS 129.30(4)(c)(c) The practicum examination shall be administered after the final written examination and the student shall achieve a grade of 85 percent or better on the practicum examination to pass the course. Retakes of the practicum examination shall not be permitted. DHS 129.30(4)(d)(d) If the student does not successfully pass either the final written examination or the practicum exam, the student shall retake the entire course. DHS 129.30(5)(5) Certification. The department or designee shall issue a certificate to each student who satisfactorily completes the course. The department or designee shall maintain a database of hospice nurse aides who complete this course. DHS 129.30 NoteNote: The nurse aide should retain his or her hospice medication aide certificate of completion.
DHS 129.30(6)(a)(a) The records of the program shall be retained by the instructional entity for at least 3 years. DHS 129.30(6)(b)(b) The records file for each student in each class shall contain all of the following: DHS 129.30 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08; renumbering in (1) (g) made under s. 13.92 (4) (b) 1., Stats., Register November 2008 No. 635. DHS 129.31DHS 129.31 Hospice medication aide training program operation. DHS 129.31(1)(1) Approved hospice medication aide training programs shall complete all of the following before conducting a course: DHS 129.31(1)(a)(a) Submit a sample of the practicum questions or scenarios to the department at least 2 weeks before the practicum examination. DHS 129.31(1)(b)(b) Establish a date for the state-generated final examination with the department. DHS 129.31(2)(2) A training program representative approved by the department shall administer the final examination. The representative shall send copies of sample quizzes, quiz scores, final exams, practicum scores and course evaluations to the department. DHS 129.31(3)(3) The department shall score the examination and provide the students’ examination results to the course coordinator one week after the final examination. Within 30 days after receipt of the information required in sub. (2), the department shall send a certificate of completion to the coordinator for distribution to each student who successfully passed the course. DHS 129.31(4)(4) The department may revoke approval of an instructor if the department determines the instructor failed to comply with any requirement of this chapter. DHS 129.31 HistoryHistory: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08.
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