The Medication Aide Training Curriculum for Registration of Medication Aides has been approved by the Board of Nursing. The laws and regulations require that all medication aides working in Assisted Living Facilities be registered with the Board of Nursing by July 1, 2008 (extended to December 31, 2008, then to 1, 2009).

This is a 68 hour curriculum. Sixty-eight (68) hours is the minimum number of hours required to train medication aides for registration with the Board of Nursing, to work in Assisted Living Facilities. It is up to the discretion of the instructor to determine if more hours are required to train the students in each individual class. Additional hours can be added to meet the needs of the students. (PROGRAM OBJECTIVE)

The minimum 68 hour requirement includes:

• 40 hours in the classroom, teaching

• 8 hours of diabetic-specific training

• 20 hours of clinical training:

No more than 10 students per instructor

Clinical experience must be in an assisted living facility.

Maximum number of simulation hours is 20% (4 hours)


Evaluation Methods:

The total hours of Medication Aide is 68 hours, which consists of 40 hours of didactic instruction and 20 hours of clinical instruction, and 8 hours of Insulin Simulation. Program certificate will be issued to the student who has successfully completed 68 hours of instruction and passed both clinical, quizzes, and final test.

The content of this curriculum is written in clear and simple language and reflects current recommended best practices.

The curriculum is divided into eight chapters:

CHAPTER 1 – LEGAL AND ETHICAL ISSUES – Provides information on laws and regulations governing medication management in Virginia Assisted Living Facilities. Legal and ethical issues include confidentiality, client rights, and issues regarding abuse and neglect.

CHAPTER 2 – PREPARING FOR SAFE ADMINISTRATION OMEDICATION – A review of topics included in the pre-requisite training. Information on International Time and the Five Rights of Medication Administration may be new material for students.

CHAPTER 3 – INTRODUCTION TO PHARMACOLOGY – Provides elementary information on pharmacology. Topics include how drugs are classified, purposes and effects of drugs, medical terminology and abbreviations related to drug administrations, and how to use drug information resources.

iv Commonwealth of Virginia Board of Nursing Medication Aide Curriculum for Registered Medication Aides

CHAPTER 4 – ADMINISTRATION OF PREPARED INSTILLATIONS AND TREATMENTS – Describes procedures for administering medications by various routes, including inhalation therapy and the administration of epinephrine in emergency situations.

CHAPTER 5 – DOCUMENTATION – Provides information on the different types of medication orders. Explanation is provided on how to receive oral orders from health care providers, how to transcribe the orders onto the Medication Administration Record and on how to document medications administered, medication exclusions, and medication errors.

CHAPTER 6 – STORAGE AND DISPOSAL OF MEDICATIONS – Includes guidelines for storing and securing and disposing of medications, including controlled substances.

CHAPTER 7 – SPECIAL ISSUES IMEDICATION ADMINISTRATION – Provides information on special issues related to the care of the elderly and of the cognitively impaired client. Included is basic information on the use of psychotropic drugs, the ‘Beer’s List’ of medications, and how to avoid the use of chemical restraints. Issues related to over-the-counter medications and herbal preparations are also addressed.

CHAPTER 8 - INSULIN ADMINISTRATION – This eight hour module provides descriptions of the types of diabetes, complications related to diabetes, and the types of insulin. Instruction is provided on how to perform finger-stick for glucose monitoring and how to administer insulin by injection.