This document outlines the allowable and prohibited practices of a medication aide according to §95.105. It discusses what medication aides are allowed to do, such as observe reactions, take vital signs, administer regularly prescribed medications, and apply some topical medications with orders. It prohibits medication aides from administering injections, crushing certain medications without authorization, administering tube feedings or initial doses, calculating doses, and various other restrictions. It also notes differences for correctional facility medication aides who have more autonomy without nurse authorization for certain tasks.

1. Medication
Aide
Re-certification
MODULE - 1
TEAMWORKCAREER INSTITUTE LLC - ONLINE PROGRAM

2. Part 1
Review of
allowable and prohibited practice
of the medication aide.

3. §95.105 Allowable and
Prohibited Practices of a
Permit Holder
(a) A permit holder under Health and
Safety Code, Chapter 242, Subchapter
N, may:
(1) observe and report to the facility's
charge licensed nurse reactions and
side effects to medication shown by a
resident;

4. §95.105 Allowable and Prohibited Practices of
a Permit Holder
(2) take and record vital signs prior to the administration of medication which
could affect or change the vital signs;Vital signs include;
• Blood pressure;Average normal B/P is 120/80
• Pulse; normal range is 60 – 100 bpm
• Respiration; 12 – 20 breathes/min
• Temperature; average normal temp is 98.6 F
• Pain; use the pain scale to rage the intensity of pain

5. §95.105 Allowable and Prohibited
Practices of a Permit Holder
(3) administer regularly prescribed medication which the permit holder has
been trained to administer only after personally preparing (setting up) the
medication to be administered.The medication aide must document the
administered medication in the resident's clinical record;
(4) administer oxygen per nasal canula or a non-sealing mask only in an
emergency. Immediately after the emergency, the permit holder must
verbally notify the licensed nurse on duty or on call and appropriately
document the action and notification;

6. §95.105 Prohibited Practices of a Permit Holder
5) apply specifically ordered ophthalmic, otic, nasal, vaginal, and
rectal medication.
(b) A permit holder under Health and Safety Code, Chapter 242,
Subchapter N, may not:
(1) administer medication by the injection route including:
(A) intramuscular route;
(B) intravenous route;
(C) subcutaneous route;
(D) intradermal route; and
(E) hypodermoclysis route;

7. §95.105 Prohibited Practices of a Permit Holder
(2) administer medication used for
intermittent positive pressure breathing
(IPPB) treatments or any form of
medication inhalation treatments;

8. §95.105
Prohibited
Practices of a
Permit Holder
(3) administer previously ordered pro re nata (PRN) medication unless
authorization is obtained from the facility's licensed nurse on duty or
on call. If authorization is obtained, permit holders must:
Example of a PRN order; Flurazepam 30mg bedtime as needed for
sleep.The med must be administered for the specific reason for
which it was ordered.The patient calls for the drug and the nurse
must assess the patient and determine the need for the med.
• (A) document, in the resident's records, symptoms indicating the
need for the medication and the time the symptoms occurred;
• (B) document in the resident's records that the facility's licensed
nurse was contacted, symptoms were described, and permission
was granted to administer the medication, including the time of
contact;
• (C) obtain permission to administer the medication each time the
symptoms occur in the resident; and
• (D) ensure that the resident's record is co-signed by the licensed
nurse who gave permission by the end of the nurse's shift, or if the
nurse was on call, by the end of the nurse's next tour of duty;

9. §95.105 Prohibited Practices of a
Permit Holder
(4) administer the initial dose of a medication that has not been
previously administered to a resident.Whether a medication has been
previously administered must be determined by the resident's current
clinical records;
(5) calculate a resident's medication doses for administration, except
that the permit holder may:
(A) measure a prescribed amount of a liquid medication to be
administered; and
(B) break a tablet for administration to a resident, provided the licensed
nurse on duty or on call has calculated the dosage.The resident's
medication card or its equivalent must accurately document how the
tablet must be altered prior to administration;

10. §95.105 Prohibited Practices of a Permit Holder
(6) crush medication, unless authorization is obtained from the licensed nurse on duty
or on call.The authorization to crush the specific medication must be documented on
the resident's medication card or its equivalent;
Do not crush the following dosage forms;
• Sublingual tablets: dissolves under the tongue
• Buccal meds: dissolves inside the check
• Enteric coated drugs
• Sustained release drugs

11. §95.105 Prohibited
Practices of a Permit
Holder
(7) administer medications or feedings by way of a tube
inserted in a cavity of the body;
(8) receive or assume responsibility for reducing to writing a
verbal or telephone order from a physician, dentist, or
podiatrist;
(9) order a resident's medications from a pharmacy;
(10) apply topical medications that involve the treatment of
skin that is broken or blistered or when a specified aseptic
technique is ordered by the attending physician;
(11) steal, divert, or otherwise misuse medication;

12. §95.105
Prohibited
Practices of a
Permit Holder
• (12) violate any provision of the Health and Safety Code or
this chapter;
• (13) fraudulently procure or attempt to procure a permit;
• (14) neglect to administer appropriate medications, as
prescribed, in a responsible manner; or
• (15) administer medications if the person is unable to do so
with reasonable skill and safety to residents because of
drunkenness and/or excessive use of drugs, narcotics,
chemicals, or any other type of material.

13. Differences in the role of correctional medication
aides. Rule §95.125
• (F) administer previously ordered PRN medication. A medication aide must
document in the inmate's records, symptoms indicating the need for the
medication, and the time the symptoms occurred;
• (G) administer the initial dose of a medication;
• (H) order an inmate's medications from the correctional institution's pharmacy;
• This medication aide needs no authorization from the nurse to perform the above
functions.