DHS 129.19(1)(1)
The department will review substandard quality of care citations made under
42 CFR 483 that result in a prohibition of a nurse aide training or competency evaluation program for a nursing home, in order to determine the appropriate action for a feeding assistant training program. Program decisions will be made on a case-by-case basis.
DHS 129.19(2)
(2) Any nursing home citation that directly relates to a feeding assistant training program may result in termination by the department of the feeding assistant training program.
DHS 129.19(3)
(3) Feeding assistant training programs may request a waiver of the feeding assistant training prohibition by submitting a request in writing to the department. The department shall issue a written decision, either approving or denying the request, within 45 calendar days of receiving a complete waiver request.
DHS 129.19 History
History: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08.
DHS 129.20
DHS 129.20 Feeding assistant training program appeals. DHS 129.20(1)(1)
For any of the following department actions, a feeding assistant training program may request a hearing by filing an appeal with the department of administration's division of hearings and appeals.
DHS 129.20(1)(a)
(a) A denial of an application to operate a feeding assistant training program.
DHS 129.20(1)(c)
(c) A termination or suspension of an approved feeding assistant training program.
DHS 129.20(1)(e)
(e) A denial of a request for a waiver or the revocation of a waiver.
DHS 129.20(2)
(2) A request for a hearing shall be in writing and shall be filed with the department of administration's division of hearings and appeals no later than 30 days after the date of the denial, suspension or revocation. An appeal is considered filed when received by the division of hearings and appeals.
DHS 129.20 Note
Note: The address of the Department of Administration's Division of Hearings and Appeals is P.O. Box 7875, Madison, Wisconsin 53707. Appeals may be delivered in person to that office at 5005 University Avenue, Room 201, Madison, Wisconsin.
DHS 129.20 History
History: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08.
DHS 129.21
DHS 129.21 Medication aide training program application and approval process. DHS 129.21(1)(a)(a) All medication aide training programs based in nursing homes shall be approved by the department.
DHS 129.21(1)(b)
(b) Nursing homes and other entities wishing to operate a nursing home medication aide program shall submit a proposal for developing a medication aide course. The proposal shall include documentation of client needs, staff resources to provide the training and a description of the physical location of the training site. The proposal will be approved or denied by the department, and the department shall issue a decision within 30 calendar days of a completed proposal submittal.
DHS 129.21(1)(c)
(c) After a medication aide program proposal is approved, medication aide course curriculum, course outline, instructor qualifications and other materials shall be submitted to and approved by the department before the training program can be implemented. The department will issue a decision on a completed course submittal within 90 calendar days.
DHS 129.21(1)(d)
(d) The department will limit the number of approved programs to a maximum of 10, subject to determined needs as submitted in program development proposals. If the department determines there is a geographical or consumer-based need, the department may approve additional programs.
DHS 129.21(2)(a)
(a) The department shall conduct a post-approval review of a program every 2 years after the date on which the department formally approved the program. The department may conduct an on-site review of the program at any time to verify the program remains in compliance with the requirements of this chapter.
DHS 129.21(2)(b)
(b) The program designee shall submit a report at least every 2 years to the department on a form provided by the department and shall provide any additional information requested by the department during its review of the program. The program designee shall allow reasonable means for the department to examine records and gather requested information.
DHS 129.21(2)(c)
(c) The program designee shall report a substantial change in the program to the department in writing within 10 days of the change. A program may not operate without the department's approval of any replacement or substantial change. Notwithstanding s.
DHS 129.03 (51), in this subdivision, “substantial change" means any change in the instructor under s.
DHS 129.22, or curriculum under s.
DHS 129.24 (1).
DHS 129.21(2)(d)
(d) All approved courses are subject to inspection. If at any time the department determines that a program has failed to comply with a requirement of this chapter, the department may, after providing written notice, impose a plan of correction on the program, suspend or revoke approval of the program.
DHS 129.21(2)(e)
(e) The department may revoke approval of an instructor if the department determines the instructor failed to comply with any requirement of this subchapter.
DHS 129.21 Note
Note: Current course proposal and course curriculum content requirements can be obtained from the Division of Quality Assurance, P.O. Box 2969, Madison, WI 53701-2969.
DHS 129.21 History
History: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08.
DHS 129.22
DHS 129.22 Standards for instructors of medication aide training programs. A medication aide program instructor shall be one of the following:
DHS 129.22(1)
(1) A registered nurse, licensed in Wisconsin, with teaching experience in the principles of adult learning and training techniques and one or more years of experience in one of the following positions within the last 5 years immediately before the person will be a program instructor:
DHS 129.22(3)
(3) A pharmacist who is licensed in Wisconsin, with teaching experience in the principles of adult learning and training techniques, and who has at least one year of experience as a consultant to a nursing home.
DHS 129.22 History
History: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08.
DHS 129.23
DHS 129.23 Nursing home medication aide student qualifications. DHS 129.23(1)(1)
Student requirements. The student shall be at least 18 years of age, have a high school diploma or a high school equivalency diploma, and shall be listed on the registry as eligible to work in federally-certified health care settings.
DHS 129.23(2)
(2)
Work requirements. The student shall have at least 2,000 hours of experience as a nurse aide in direct patient care within the last 3 years and have worked a minimum of 40 hours as a nurse aide within the last 90 days, with the residents to whom the student will be administering medications during the clinical experience portion of the course.
DHS 129.23(3)
(3)
Written recommendation. The student shall have 4 written recommendations, 2 from licensed charge nurses, one from the director of nursing of the nursing home where the student will be working during the clinical experience, and one from the administrator of the nursing home where the student will be working during the clinical experience.
DHS 129.23 History
History: CR 08-042: cr. register November 2008 No. 635, eff. 12-1-08.
DHS 129.24
DHS 129.24 Standards for nursing home medication aide training programs. DHS 129.24(1)(a)(a)
Minimum requirements. A training program shall include at least the following 6 areas, specified in pars.
(b) to
(h):
DHS 129.24(1)(c)1.1. Federal and state nursing home standards, regulations, statutes, and administrative rules.
DHS 129.24(1)(c)2.
2. Standards of Practice for Registered Nurses and Licensed Practical Nurses, ch.
N 6 specific to registered nurse delegation.
DHS 129.24(1)(d)
(d) Overview of body systems related to routes of medication administration and the classes of medications. DHS 129.24(1)(d)1.1. Anatomy of body structures that pertain to medication administration, including structure of the eye, ear, nose, mouth, vagina, rectum, and skin, which are necessary to administer medication correctly via these routes.
DHS 129.24(1)(d)2.
2. Functions of these body structures that impact medication administration and effectiveness.
DHS 129.24(1)(d)3.
3. Diseases of these body structures that impact medication administration and medication effectiveness.
DHS 129.24 Note
Note: Examples of anatomy, function and diseases are provided in the curriculum development guide.
DHS 129.24(1)(e)3.
3. Dosage forms, including pills, capsules, ointments, patches, and suppositories.
DHS 129.24 Note
Note: Chemotherapy is not part of the basic medication aide course.
DHS 129.24(1)(f)1.1. Techniques and procedures of various routes of medication administration.
DHS 129.24 Note
Note: Injections, and medications administered via a tube, a nebulizer, or an oxygen route will not be evaluated as part of the basic nursing home medication aide curriculum.
DHS 129.24(1)(f)2.
2. Six “rights" of medication administration, including right patient, right drug, right dose, right route, right time, and right documentation.
DHS 129.24(1)(g)
(g) Observations, communication, and reporting. Requirements for timely reporting and documenting the administration of all medication, including the need for PRN medications and the resident's response, refusal to take medication, omission of medications, errors in the administration of medication and drug reactions and any change in the condition of a resident.
DHS 129.24(2)(a)
(a) The class facilities shall be of sufficient size and structure to allow adequate space and equipment to instruct the students.
DHS 129.24(2)(b)
(b) The total number of students in any one class shall not exceed 24.
DHS 129.24(3)(a)(a)
Instruction. The program shall contain a minimum of 100 hours of instruction of which 60 hours shall be spent in classroom instruction and 40 hours of which shall be clinical experience in a nursing home. The department may not approve a program as a video-based program; however, videos, the internet, and other technology can be used to supplement the classroom instruction.
DHS 129.24(3)(b)
(b) Medication consultant. The program shall have a designated, qualified medication consultant who will act as a resource for medication issues, concerns, questions and assist in course updates.
DHS 129.24(4)(a)(a) The curriculum shall contain a minimum of 6 quizzes. Copies of examples of the quizzes shall be submitted to the department for approval as part of the curriculum. The curriculum shall require the student to achieve an average of 85 percent or better on the quizzes before being allowed to take the final written exam.
