Certified Medication Attendant

Certified Medication AttendantJoyce Louden, Ph.D. & Sylvia Melancon, Ph.D.

OFFICE FOR CITIZENS WITH DEVELOPMENTAL DISABILITIES

Kathy H. KliebertSecretary

DEFINITION OF A CMA

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CERTIFIED MEDICATION ATTENDANT

Unlicensed personnel who administer certain medication to:• Residents of intermediate care facilities &

community homes operated by OCDD or funded through DHH

• Individuals in programs/agencies contracting for services with DHH except acute care settings

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WHAT CAN/CAN’T A CMA DO?

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AUTHORIZED CMA FUNCTIONS

• Deliver medications ordered by a physician or dentist to residents for self administration

• Deliver & administer medications ordered by a physician or dentist to residents with the supervision of a registered nurse

• Administer oral medications, enemas, douches, ointments, and suppositories unless otherwise indicated

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AUTHORIZED CMA FUNCTIONS

• Administer pro re nata “PRN” (as needed) medications when authorized by a licensed physician, dentist, or registered nurse

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PROHIBITED CMA FUNCTIONS

• Intramuscular, intravenous, subcutaneous or tube (gastro/NG) routes.

• Oral inhalant aerosol route • unless administering a premeasured dosage unit provided

by the manufacturer. • Reducing to writing oral or telephone orders from a

physician. • Alter medication dosages

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WHO CAN BE A CMA?

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CMA APPLICANT

• A citizen of the United States and a resident of Louisiana;

• An employee of a facility operated by the OCDD, an ICF/DD, community home, program or agency funded through the DHH;

• At least 18 years of age; • Able to read, write, & comprehend the English

language; • Free of communicable diseases as documented by a

current physician’s statement; &

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CMA APPLICANT

• Must have no known record or history of: • Alcohol or drug abuse • mental or physical abuse/neglect • molestation, or • conviction of a felony

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WHO CAN BE A CMA INSTRUCTOR?

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CMA INSTRUCTOR

• A registered nurse with a minimum of one year of clinical experience in a DD setting• may delegate the 20 hours of practical training to

a licensed practical nurse with a minimum of one year of clinical experience in a DD setting

• Must complete instructor training offered by OCDD once annually

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CMA INSTRUCTOR

Next Instructor Training Classes:

• Wednesday, October 2, 2013 in Baton Rouge, LA• Friday, October 11, 2013 in Pineville, LA

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ROLES & RESPONSIBILITIES

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CERTIFICATION PROCESS: CMA ROLE

• Complete 60 hours of training • 40 hours of classroom theory• 20 hours of practical training

• Pass a written examination • Demonstrate proficiency in 25 skills• Maintain good standing

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CERTIFICATION PROCESS: INSTRUCTOR ROLE

• Provide the training • Complete required paperwork to request the

written exam

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CERTIFICATION PROCESS: REGIONAL COORDINATOR ROLE

• Administer the state exam• Submit exam and required paperwork to the state

office coordinator• Distribute certificates to provider agencies & CMA

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CERTIFICATION PROCESS: STATE OFFICE COORDINATOR ROLE

• Manage the program• Grade the written exams• Process the paperwork• Print certificates • Maintain all records

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ANNUAL REQUIREMENTS

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CMA IN GOOD STANDING

• On an annual basis each CMA must be recertified • 9 hours of in-service training

• 2 must be on the agency’s medication administration policy and procedure & 7 on in-service related to medication administration.

• Pass with proficiency the 25 skills on the practical checklist. • If initially certified before May 1, certificate expires

October 31 of the same year. • If on or after May 1, certificate expires on October

31 of the next year.

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CMA IN GOOD STANDING

Must not go longer than 12 months without working directly with medication administration in a facility, program, or agency for individuals with developmental disabilities

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DECERTIFICATION• Falsification of consumer medical records • Found guilty of abuse, neglect or cruelty to the infirmed• Found guilty of misappropriation of a resident’s property

falsification or alteration of CMA certificate issued by OCDD

• Falsification of CMA qualifications • Failure to meet CMA qualifications • MAY be decertified when

– failing to obtain recertification – when performance is unsatisfactory

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STATE OFFICE COORDINATORCONTACT INFORMATION

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CONTACT INFORMATIONJoyce Louden, Ph.D. Sylvia Melancon, Ph.D.225-342-1384 225-342-8737Joyce.Louden@la.gov Sylvia.Melancon@la.gov

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QUESTIONS

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