| 9 | 9 | | Page 1 of 8 |
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| 10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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| 11 | 11 | | |
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| 12 | 12 | | |
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| 13 | 13 | | |
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| 14 | 14 | | A bill to be entitled 1 |
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| 15 | 15 | | An act relating to certified nursing assistants; 2 |
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| 16 | 16 | | amending s. 400.211, F.S.; providing that a nursing 3 |
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| 17 | 17 | | home may authorize a registered nurse to delegate 4 |
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| 18 | 18 | | certain tasks to specified certified nursing 5 |
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| 19 | 19 | | assistants; providing requirements for such 6 |
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| 20 | 20 | | assistants; providing for the designation of certain 7 |
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| 21 | 21 | | certified nursing assistants as qualified medication 8 |
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| 22 | 22 | | aides; providing requirements for such aides; 9 |
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| 23 | 23 | | requiring the Board of Nursing, in consultation with 10 |
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| 24 | 24 | | the Agency for Health Care Administration, to adopt 11 |
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| 25 | 25 | | rules; amending s. 400.23, F.S.; prohibiting qualified 12 |
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| 26 | 26 | | medication aides from being included in the 13 |
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| 27 | 27 | | computation of specified hours of direct care and 14 |
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| 28 | 28 | | staffing ratios; amending s. 464.0156, F.S.; 15 |
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| 29 | 29 | | authorizing registered nurses to delegate to certified 16 |
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| 30 | | - | nursing assistants the administration of certain 17 |
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| 31 | | - | medications to specified residents under certain 18 |
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| 32 | | - | conditions; amending s. 464.2035, F.S.; authorizing 19 |
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| 33 | | - | certified nursing assistants to administer certain 20 |
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| 34 | | - | medications to specified residents and patients under 21 |
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| 35 | | - | certain conditions; requiring the board, in 22 |
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| 36 | | - | consultation with the agency, to establish standards 23 |
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| 37 | | - | and procedures that a certified nursing assistant must 24 |
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| 38 | | - | follow when administering medi cation to a resident of 25 |
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| 30 | + | nursing assistants and home health aides the 17 |
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| 31 | + | administration of certain medications to specified 18 |
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| 32 | + | residents and patients under certain conditions; 19 |
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| 33 | + | amending s. 464.2035, F.S.; authorizing certified 20 |
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| 34 | + | nursing assistants to administer certain medications 21 |
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| 35 | + | to specified residents and patients under certain 22 |
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| 36 | + | conditions; requiring the board, in consultation with 23 |
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| 37 | + | the agency, to establish standards and procedures that 24 |
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| 38 | + | a certified nursing assistant must follow when 25 |
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| 51 | | - | a nursing home facility; providing an effective date. 26 |
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| 52 | | - | 27 |
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| 53 | | - | Be It Enacted by the Legislature of the State of Florida: 28 |
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| 54 | | - | 29 |
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| 55 | | - | Section 1. Subsection (5) is added to section 400.211, 30 |
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| 56 | | - | Florida Statutes, to read: 31 |
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| 57 | | - | 400.211 Persons employed a s nursing assistants; 32 |
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| 58 | | - | certification requirement. — 33 |
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| 59 | | - | (5) A nursing home, in accordance with chapter 464 and 34 |
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| 60 | | - | rules adopted pursuant to this section, may authorize a 35 |
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| 61 | | - | registered nurse to delegate tasks, including medication 36 |
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| 62 | | - | administration, to a certified nursi ng assistant who meets the 37 |
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| 63 | | - | requirements of this subsection. 38 |
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| 64 | | - | (a) In addition to the initial 6 -hour training course and 39 |
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| 65 | | - | determination of competency required under s. 464.2035, to be 40 |
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| 66 | | - | eligible to administer medication to a resident of a nursing 41 |
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| 67 | | - | home facility, a certified nursing assistant must: 42 |
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| 68 | | - | 1. Hold a clear and active certification from the 43 |
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| 69 | | - | Department of Health for at least 1 year immediately preceding 44 |
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| 70 | | - | the delegation. 45 |
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| 71 | | - | 2. Complete an additional 34 -hour training course approved 46 |
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| 72 | | - | by the Board of Nursing in medication administration and 47 |
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| 73 | | - | associated tasks, including, but not limited to, blood glucose 48 |
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| 74 | | - | level checks, dialing oxygen flow meters to prescribed settings, 49 |
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| 75 | | - | and assisting with continuous positive airway pressure devices. 50 |
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| 51 | + | administering medication to a resident of a nursing 26 |
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| 52 | + | home facility; providing an effective date. 27 |
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| 53 | + | 28 |
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| 54 | + | Be It Enacted by the Legislature of the State of Florida: 29 |
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| 55 | + | 30 |
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| 56 | + | Section 1. Subsection (5) is added to section 400.211, 31 |
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| 57 | + | Florida Status, to r ead: 32 |
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| 58 | + | 400.211 Persons employed as nursing assistants; 33 |
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| 59 | + | certification requirement. — 34 |
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| 60 | + | (5) A nursing home, in accordance with chapter 464 and 35 |
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| 61 | + | rules adopted pursuant to this section, may authorize a 36 |
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| 62 | + | registered nurse to delegate tasks, including medication 37 |
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| 63 | + | administration, to a certified nursing assistant who meets the 38 |
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| 64 | + | requirements of this subsection. 39 |
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| 65 | + | (a) In addition to the initial 6 -hour training course and 40 |
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| 66 | + | determination of competency required under s. 464.2035, to be 41 |
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| 67 | + | eligible to administer medication to a re sident of a nursing 42 |
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| 68 | + | home facility, a certified nursing assistant must: 43 |
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| 69 | + | 1. Hold a clear and active certification from the 44 |
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| 70 | + | Department of Health for a minimum of 1 year immediately 45 |
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| 71 | + | preceding the delegation; 46 |
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| 72 | + | 2. Complete an additional 34 -hour training course approved 47 |
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| 73 | + | by the Board of Nursing in medication administration and 48 |
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| 74 | + | associated tasks including blood glucose level checks, dialing 49 |
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| 75 | + | oxygen flow meters to prescribed settings, and assisting with 50 |
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| 88 | | - | 3. Demonstrate clinical compete ncy by successfully 51 |
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| 89 | | - | completing a supervised clinical practice in medication 52 |
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| 90 | | - | administration and associated tasks conducted in the facility. 53 |
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| 91 | | - | (b) Upon completion of the training, competency, and 54 |
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| 92 | | - | initial validation requirements under s. 464.2035 and this 55 |
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| 93 | | - | subsection, a certified nursing assistant whose delegated tasks 56 |
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| 94 | | - | include medication administration is designated as a qualified 57 |
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| 95 | | - | medication aide. 58 |
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| 96 | | - | (c) A qualified medication aide must satisfactorily 59 |
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| 97 | | - | complete the annual validation and 2 hours of inservice train ing 60 |
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| 98 | | - | in medication administration and medication error prevention in 61 |
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| 99 | | - | accordance with s. 464.2035. 62 |
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| 100 | | - | (d) A qualified medication aide may administer medication 63 |
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| 101 | | - | only under the direct supervision of a nurse licensed under part 64 |
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| 102 | | - | I of chapter 464. 65 |
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| 103 | | - | (e) Medication administration must be included in 66 |
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| 104 | | - | performance improvement activities in accordance with 42 C.F.R. 67 |
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| 105 | | - | s. 483.75(e)(2). 68 |
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| 106 | | - | (f) The Board of Nursing, in consultation with the agency, 69 |
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| 107 | | - | shall adopt rules to implement this subsection. 70 |
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| 108 | | - | Section 2. Paragraph (b) o f subsection (3) of section 71 |
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| 109 | | - | 400.23, Florida Statutes, is amended to read: 72 |
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| 110 | | - | 400.23 Rules; evaluation and deficiencies; licensure 73 |
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| 111 | | - | status.— 74 |
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| 112 | | - | (3) 75 |
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| 88 | + | continuous positive airway pressure devices; and 51 |
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| 89 | + | 3. Demonstrate clinical competency by successfully 52 |
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| 90 | + | completing a supervised clinical practice in medication 53 |
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| 91 | + | administration and associated tasks conducted in the facility. 54 |
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| 92 | + | (b) Upon completion of the training, competency, and 55 |
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| 93 | + | initial validation requirements under s. 46 4.2035 and this 56 |
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| 94 | + | subsection, a certified nursing assistant whose tasks include 57 |
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| 95 | + | medication administration is designated as a qualified 58 |
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| 96 | + | medication aide. 59 |
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| 97 | + | (c) A qualified medication aide must satisfactorily 60 |
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| 98 | + | complete the annual validation and 2 hours of inserv ice training 61 |
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| 99 | + | in medication administration and medication error prevention in 62 |
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| 100 | + | accordance with s. 464.2035. 63 |
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| 101 | + | (d) A qualified medication aide may only administer 64 |
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| 102 | + | medication under the direct supervision of a nurse licensed 65 |
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| 103 | + | under part I of chapter 464. 66 |
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| 104 | + | (e) The Board of Nursing, in consultation with the agency, 67 |
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| 105 | + | shall adopt rules to implement this subsection. 68 |
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| 106 | + | Section 2. Paragraph (b) of subsection (3) of section 69 |
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| 107 | + | 400.23, Florida Statutes, is amended to read: 70 |
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| 108 | + | 400.23 Rules; evaluation and deficiencies; licensure 71 |
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| 109 | + | status.— 72 |
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| 110 | + | (3) 73 |
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| 111 | + | (b)1. Each facility must determine its direct care 74 |
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| 112 | + | staffing needs based on the facility assessment and the 75 |
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| 125 | | - | (b)1. Each facility must determine its direct care 76 |
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| 126 | | - | staffing needs based on the facility assessment and the 77 |
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| 127 | | - | individual needs of a resident based on the resident's care 78 |
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| 128 | | - | plan. At a minimum, staffing must include, for each facility, 79 |
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| 129 | | - | the following requirements: 80 |
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| 130 | | - | a. A minimum weekly average of 3.6 hours of care by direct 81 |
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| 131 | | - | care staff per resident per day. As used in t his sub-82 |
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| 132 | | - | subparagraph, a week is defined as Sunday through Saturday. 83 |
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| 133 | | - | b. A minimum of 2.0 hours of direct care by a certified 84 |
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| 134 | | - | nursing assistant per resident per day. A facility may not staff 85 |
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| 135 | | - | below one certified nursing assistant per 20 residents. 86 |
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| 136 | | - | c. A minimum of 1.0 hour of direct care by a licensed 87 |
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| 137 | | - | nurse per resident per day. A facility may not staff below one 88 |
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| 138 | | - | licensed nurse per 40 residents. 89 |
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| 139 | | - | 2. Nursing assistants employed under s. 400.211(2) may be 90 |
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| 140 | | - | included in computing the hours of direct care provid ed by 91 |
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| 141 | | - | certified nursing assistants and may be included in computing 92 |
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| 142 | | - | the staffing ratio for certified nursing assistants if their job 93 |
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| 143 | | - | responsibilities include only nursing -assistant-related duties. 94 |
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| 144 | | - | 3. Certified nursing assistants performing the duties of a 95 |
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| 145 | | - | qualified medication aide under s. 400.211(5) may not be 96 |
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| 146 | | - | included in computing the hours of direct care provided by, or 97 |
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| 147 | | - | the staffing ratios for, certified nursing assistants or 98 |
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| 148 | | - | licensed nurses under sub -subparagraph 1.b. or sub -subparagraph 99 |
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| 149 | | - | 1.c., respectively. 100 |
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| 125 | + | individual needs of a resident based on the resident's care 76 |
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| 126 | + | plan. At a minimum, staffing must include, for each facility, 77 |
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| 127 | + | the following requirements: 78 |
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| 128 | + | a. A minimum weekly average of 3.6 hours of care by direct 79 |
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| 129 | + | care staff per resident per day. As used in this sub -80 |
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| 130 | + | subparagraph, a week is defined as Sunday through Saturday. 81 |
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| 131 | + | b. A minimum of 2.0 hours of direct care by a certifi ed 82 |
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| 132 | + | nursing assistant per resident per day. A facility may not staff 83 |
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| 133 | + | below one certified nursing assistant per 20 residents. 84 |
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| 134 | + | c. A minimum of 1.0 hour of direct care by a licensed 85 |
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| 135 | + | nurse per resident per day. A facility may not staff below one 86 |
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| 136 | + | licensed nurse per 40 residents. 87 |
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| 137 | + | 2. Nursing assistants employed under s. 400.211(2) may be 88 |
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| 138 | + | included in computing the hours of direct care provided by 89 |
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| 139 | + | certified nursing assistants and may be included in computing 90 |
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| 140 | + | the staffing ratio for certified nursing assistants if their job 91 |
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| 141 | + | responsibilities include only nursing -assistant-related duties. 92 |
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| 142 | + | 3. Certified nursing assistants who perform the duties of 93 |
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| 143 | + | a qualified medication aide under s. 400.211(5) may not be 94 |
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| 144 | + | included in computing the hours of direct care provided by, or 95 |
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| 145 | + | the staffing ratios for, certified nursing assistants or 96 |
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| 146 | + | licensed nurses under sub -subparagraph 1.b. or sub -subparagraph 97 |
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| 147 | + | 1.c., respectively. 98 |
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| 148 | + | 4.3. Each nursing home facility must document compliance 99 |
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| 149 | + | with staffing standards as required under this paragraph and 100 |
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| 162 | | - | 4.3. Each nursing home facility must document compliance 101 |
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| 163 | | - | with staffing standards as required under this paragraph and 102 |
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| 164 | | - | post daily the names of licensed nurses and certified nursing 103 |
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| 165 | | - | assistants on duty for the benefit of facility residents and the 104 |
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| 166 | | - | public. Facilities must maintain the records documenting 105 |
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| 167 | | - | compliance with minimum staffing standards for a period of 5 106 |
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| 168 | | - | years and must report staffing in accordance with 42 C.F.R. s. 107 |
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| 169 | | - | 483.70(q). 108 |
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| 170 | | - | 5.4. The agency must recognize the use of licensed nurses 109 |
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| 171 | | - | for compliance with minimum staffing requirements for certified 110 |
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| 172 | | - | nursing assistants if the nursing home facility otherwise meets 111 |
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| 173 | | - | the minimum staffing requirements for licensed nurses and the 112 |
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| 174 | | - | licensed nurses are performing the duties of a certified nursing 113 |
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| 175 | | - | assistant. Unless otherwise approved by the agency, licensed 114 |
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| 176 | | - | nurses counted toward the minimum staffing requirements for 115 |
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| 177 | | - | certified nursing assistants must exclusively perform the duties 116 |
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| 178 | | - | of a certified nursing assistant for the entire shift and not 117 |
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| 179 | | - | also be counted toward the minimum staffing requirements for 118 |
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| 180 | | - | licensed nurses. If the agency approved a facility's request to 119 |
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| 181 | | - | use a licensed nurse to perform both licensed nursing and 120 |
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| 182 | | - | certified nursing assistant duties, the facility must allocate 121 |
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| 183 | | - | the amount of staff time specifically spent on certified nursing 122 |
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| 184 | | - | assistant duties for the purpose of documenting compliance with 123 |
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| 185 | | - | minimum staffing requirements for certified and licensed nursing 124 |
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| 186 | | - | staff. The hours of a licensed nurse with dual job 125 |
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| 162 | + | post daily the names of licensed nurses and certified nursing 101 |
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| 163 | + | assistants on duty for the benefit of facility residents and the 102 |
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| 164 | + | public. Facilities must maintain the records documenting 103 |
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| 165 | + | compliance with minimum staffing standards for a period of 5 104 |
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| 166 | + | years and must report staffing in accordance with 42 C.F.R. s. 105 |
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| 167 | + | 483.70(q). 106 |
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| 168 | + | 5.4. The agency must recognize the use of licensed nurses 107 |
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| 169 | + | for compliance with minimum staffing requirements for certified 108 |
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| 170 | + | nursing assistants if the nursing home facility otherwise meets 109 |
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| 171 | + | the minimum staffing requirements for licensed nurses and the 110 |
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| 172 | + | licensed nurses are performing the duties of a certified nursing 111 |
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| 173 | + | assistant. Unless otherwise approved by the agency, licensed 112 |
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| 174 | + | nurses counted toward the minimum staffing requirements for 113 |
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| 175 | + | certified nursing assistants must exclusively perform the duties 114 |
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| 176 | + | of a certified nursing assistant for the entire shift and not 115 |
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| 177 | + | also be counted toward the minimum staffing requirements for 116 |
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| 178 | + | licensed nurses. If the agency approved a facility's request to 117 |
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| 179 | + | use a licensed nurse to perform both licensed nursing and 118 |
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| 180 | + | certified nursing assistant duties, the facility must allocate 119 |
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| 181 | + | the amount of staff time specifically spent on certified nursing 120 |
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| 182 | + | assistant duties for the purpose of documenting compliance with 121 |
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| 183 | + | minimum staffing requirements for certified and licensed nursing 122 |
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| 184 | + | staff. The hours of a licensed nurse with dual job 123 |
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| 185 | + | responsibilities may not be counted twice. 124 |
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| 186 | + | 6.5. Evidence that a facility complied with the minimum 125 |
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| 199 | | - | responsibilities may not be counted twice. 126 |
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| 200 | | - | 6.5. Evidence that a facility complied with the minimum 127 |
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| 201 | | - | direct care staffing requirements under subparagraph 1. is not 128 |
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| 202 | | - | admissible as evidence of compliance with the nursing services 129 |
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| 203 | | - | requirements under 42 C.F.R. s. 483.35 or s. 483.70. 130 |
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| 204 | | - | Section 3. Subsection (2) of section 464.0156, Florida 131 |
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| 205 | | - | Statutes, is amended to read: 132 |
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| 206 | | - | 464.0156 Delegation of duties. — 133 |
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| 207 | | - | (2)(a) A registered nurse may delegate to a certified 134 |
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| 208 | | - | nursing assistant the administration of oral, transdermal, 135 |
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| 209 | | - | ophthalmic, otic, inhaled, or topical prescription medication to 136 |
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| 210 | | - | a resident of a nursing home facility as defined in s. 400.021 137 |
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| 211 | | - | if the certified nursing assistant meets the requirements of s. 138 |
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| 212 | | - | 400.211(5) and s. 464.2035. 139 |
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| 213 | | - | (b) A registered nurse may delegate to a certified nursing 140 |
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| 214 | | - | assistant or a home health aide the administration of oral, 141 |
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| 215 | | - | transdermal, ophthalmic, otic, rectal, inhaled, enteral, or 142 |
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| 216 | | - | topical prescription medications to a patient of a home health 143 |
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| 217 | | - | agency licensed under part III of chapter 400 or to a patient in 144 |
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| 218 | | - | a local county detention facility as defined in s. 951.23(1) , if 145 |
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| 219 | | - | the certified nursing assistant or home health aide meets the 146 |
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| 220 | | - | requirements of s. 464.2035 or s. 400.489, respectively. 147 |
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| 221 | | - | (c) A registered nurse may not delegate the administration 148 |
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| 222 | | - | of any controlled substa nce listed in Schedule II, Schedule III, 149 |
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| 223 | | - | or Schedule IV of s. 893.03 or 21 U.S.C. s. 812, except for the 150 |
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| 199 | + | direct care staffing requirements under subparagraph 1. i s not 126 |
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| 200 | + | admissible as evidence of compliance with the nursing services 127 |
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| 201 | + | requirements under 42 C.F.R. s. 483.35 or s. 483.70. 128 |
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| 202 | + | Section 3. Subsection (2) of section 464.0156, Florida 129 |
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| 203 | + | Statutes, is amended to read: 130 |
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| 204 | + | 464.0156 Delegation of duties. — 131 |
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| 205 | + | (2)(a) A registered nurse may delegate to a certified 132 |
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| 206 | + | nursing assistant the administration of oral, transdermal, 133 |
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| 207 | + | ophthalmic, otic, inhaled, or topical prescription medication to 134 |
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| 208 | + | a resident of a nursing home facility as defined in s. 400.021 135 |
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| 209 | + | if the certified nursing assistant meets the requirements of s. 136 |
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| 210 | + | 400.211(5) and s. 464.2035. 137 |
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| 211 | + | (b) A registered nurse may delegate to a certified nursing 138 |
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| 212 | + | assistant or a home health aide the administration of oral, 139 |
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| 213 | + | transdermal, ophthalmic, otic, rectal, inhaled, enteral, or 140 |
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| 214 | + | topical prescription medications to a patient of a home health 141 |
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| 215 | + | agency licensed under part III of chapter 400 or to a patient in 142 |
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| 216 | + | a local county detention facility as defined in s. 951.23(1) , if 143 |
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| 217 | + | the certified nursing assistant or home health aide meets the 144 |
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| 218 | + | requirements of s. 464.2035 or s. 400.489, respectively . 145 |
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| 219 | + | (c) A registered nurse may delegate to a home health aide 146 |
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| 220 | + | the administration of oral, transdermal, ophthalmic, otic, 147 |
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| 221 | + | rectal, inhaled, enteral, or topical prescription medication to 148 |
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| 222 | + | a patient of a home heal th agency licensed under part III of 149 |
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| 223 | + | chapter 400 or to a patient in a local county detention facility 150 |
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| 236 | | - | administration of an insulin syringe that is prefilled with the 151 |
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| 237 | | - | proper dosage by a pharmacist or an insulin pen that is 152 |
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| 238 | | - | prefilled by the manufacturer. 153 |
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| 239 | | - | Section 4. Subsections (1) and (3) of section 464.2035, 154 |
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| 240 | | - | Florida Statutes, are amended to read: 155 |
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| 241 | | - | 464.2035 Administration of medication. — 156 |
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| 242 | | - | (1) A certified nursing assistant may administer oral, 157 |
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| 243 | | - | transdermal, ophthalmic, otic, rectal, inhaled, enteral, or 158 |
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| 244 | | - | topical prescription medication to a resident of a nursing home 159 |
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| 245 | | - | facility as defined in s. 400.021 or may administer oral 160 |
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| 246 | | - | transdermal, ophthalmic, otic, rectal, inhaled, enteral, or 161 |
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| 247 | | - | topical prescription medication to a patient of a home health 162 |
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| 248 | | - | agency licensed under part III of chapter 400 or to a patient in 163 |
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| 249 | | - | a county detention facility as defined in s. 951.23(1) if the 164 |
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| 250 | | - | certified nursing assistant has been delegated such task by a 165 |
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| 251 | | - | registered nurse licensed under part I of this chapter, has 166 |
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| 252 | | - | satisfactorily completed an initial 6-hour training course 167 |
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| 253 | | - | approved by the board, and has been found competent to 168 |
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| 254 | | - | administer medication to a patient in a safe and sanitary 169 |
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| 255 | | - | manner. The training, determination of competency, and initial 170 |
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| 256 | | - | and annual validation required under th is section must be 171 |
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| 257 | | - | conducted by a registered nurse licensed under this chapter or a 172 |
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| 258 | | - | physician licensed under chapter 458 or chapter 459. 173 |
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| 259 | | - | (3) The board, in consultation with the Agency for Health 174 |
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| 260 | | - | Care Administration, shall establish by rule standards and 175 |
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| 236 | + | as defined in s. 951.23(1) if the home health aide meets the 151 |
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| 237 | + | requirements of s. 400.489. 152 |
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| 238 | + | (d) A registered nurse may not delegate the administration 153 |
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| 239 | + | of any controlled substance listed in Schedule II, Schedule III, 154 |
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| 240 | + | or Schedule IV of s. 893.03 or 21 U.S.C. s. 812, except for the 155 |
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| 241 | + | administration of an insulin syringe that is prefilled with the 156 |
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| 242 | + | proper dosage by a pharmacist or an insulin pen that is 157 |
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| 243 | + | prefilled by the manufacturer. 158 |
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| 244 | + | Section 4. Subsections (1) and (3) of section 464.2035, 159 |
|---|
| 245 | + | Florida Statutes, are amended to read: 160 |
|---|
| 246 | + | 464.2035 Administration of medication. — 161 |
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| 247 | + | (1) A certified nursing assistant may administer oral, 162 |
|---|
| 248 | + | transdermal, ophthalmic, otic, rectal, inhaled, enteral, or 163 |
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| 249 | + | topical prescription medication to a resident of a nursing home 164 |
|---|
| 250 | + | facility as defined in s. 400.021 or may administer oral 165 |
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| 251 | + | transdermal, ophthalmic, otic, rectal, inhaled, enteral, or 166 |
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| 252 | + | topical prescription medication to a patient of a home health 167 |
|---|
| 253 | + | agency licensed under part III of chapter 400 or to a patient in 168 |
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| 254 | + | a county detention facility as defined in s. 951.23(1) if the 169 |
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| 255 | + | certified nursing assistant has been delegated such task by a 170 |
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| 256 | + | registered nurse licensed under part I of this chapter, ha s 171 |
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| 257 | + | satisfactorily completed an initial 6 -hour training course 172 |
|---|
| 258 | + | approved by the board, and has been found competent to 173 |
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| 259 | + | administer medication to a patient in a safe and sanitary 174 |
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| 260 | + | manner. The training, determination of competency, and initial 175 |
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| 273 | | - | procedures that a certified nursing assistant must follow when 176 |
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| 274 | | - | administering medication to a resident of a nursing home 177 |
|---|
| 275 | | - | facility or to a patient of a home health agency. Such rules 178 |
|---|
| 276 | | - | must, at a minimum, address qualification requirements for 179 |
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| 277 | | - | trainers, requirements for labeling medication, documentation 180 |
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| 278 | | - | and recordkeeping, the storage and disposal of medication, 181 |
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| 279 | | - | instructions concerning the safe administration of medication, 182 |
|---|
| 280 | | - | informed-consent requirements and records, and the training 183 |
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| 281 | | - | curriculum and validation pr ocedures. 184 |
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| 282 | | - | Section 5. This act shall take effect July 1, 2023. 185 |
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| 273 | + | and annual validation required under this section must be 176 |
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| 274 | + | conducted by a registered nurse licensed under this chapter or a 177 |
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| 275 | + | physician licensed under chapter 458 or chapter 459. 178 |
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| 276 | + | (3) The board, in consultation with the Agency for Health 179 |
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| 277 | + | Care Administration, shall establish by rule standards and 180 |
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| 278 | + | procedures that a certified nursing assistant must follow when 181 |
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| 279 | + | administering medication to a resident of a nursing home 182 |
|---|
| 280 | + | facility or to a patient of a home health agency. Such rules 183 |
|---|
| 281 | + | must, at a minimum, address qualification requirements for 184 |
|---|
| 282 | + | trainers, requirements for labeling medication, documentation 185 |
|---|
| 283 | + | and recordkeeping, the storage and disposal of medication, 186 |
|---|
| 284 | + | instructions concerning the safe administration of medication, 187 |
|---|
| 285 | + | informed-consent requirements and records, and the training 188 |
|---|
| 286 | + | curriculum and validation procedures. 189 |
|---|
| 287 | + | Section 5. This act shall take effect July 1, 2023. 190 |
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