Certified Medication Attendant

1. Certified Medication Attendant Joyce Louden, Ph.D. &Sylvia Melancon, Ph.D. OFFICE FOR CITIZENS WITH DEVELOPMENTAL DISABILITIES Kathy H. Kliebert Secretary

2. 1 DEFINITION OF A CMA LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

3. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

4. 2 WHAT CAN/can’t A CMA DO? LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

5. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

6. AUTHORIZED CMA FUNCTIONS • Administer pro re nata “PRN” (as needed) medications when authorized by a licensed physician, dentist, or registered nurse LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

7. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

8. 3 WHO CAN BE A CMA? LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

9. 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; & LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

10. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

11. 4 WHO CAN BE A CMA Instructor? LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

12. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

13. CMA INSTRUCTOR Next Instructor Training Classes: Wednesday, October 2, 2013 in Baton Rouge, LA Friday, October 11, 2013 in Pineville, LA LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

14. 5 Roles & responsibilities LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

15. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

16. CERTIFICATION PROCESS: INSTRUCTOR ROLE • Provide the training • Complete required paperwork to request the written exam LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

17. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

18. CERTIFICATION PROCESS: STATE OFFICE COORDINATOR ROLE • Manage the program • Grade the written exams • Process the paperwork • Print certificates • Maintain all records LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

19. 6 ANNUAL Requirements LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

20. 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. LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

21. 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 LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

22. 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 • MAYbe decertified when • failing to obtain recertification • when performance is unsatisfactory LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

23. 7 State office coordinatorCONTACT information LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

24. CONTACT INFORMATION Joyce Louden, Ph.D. Sylvia Melancon, Ph.D. 225-342-1384 225-342-8737 Joyce.Louden@la.govSylvia.Melancon@la.gov LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

25. QUESTIONS LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS