Bill Amendment: FL S1788 | 2018 | Regular Session

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: Medication Administration

Status: 2018-03-07 - Laid on Table, refer to CS/CS/HB 1373 [S1788 Detail]

Download: Florida-2018-S1788-Senate_Committee_Amendment_352810.html

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       Florida Senate - 2018                        COMMITTEE AMENDMENT
       Bill No. SB 1788
       
       
       
       
       
       
                                Ì352810tÎ352810                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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       The Committee on Children, Families, and Elder Affairs
       (Passidomo) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Subsections (2) and (4) of section 393.506,
    6  Florida Statutes, are amended, and subsections (1), (3), and (5)
    7  of that section are republished, to read:
    8         393.506 Administration of medication. —
    9         (1) A direct service provider who is not currently licensed
   10  to administer medication may supervise the self-administration
   11  of medication or may administer oral, transdermal, ophthalmic,
   12  otic, rectal, inhaled, enteral, or topical prescription
   13  medications to a client as provided in this section.
   14         (2) In order to supervise the self-administration of
   15  medication or to administer medications as provided in
   16  subsection (1), a direct service provider must satisfactorily
   17  complete a training course of not less than 8 4 hours in
   18  medication administration and be found competent to supervise
   19  the self-administration of medication by a client or to
   20  administer medication to a client in a safe and sanitary manner.
   21  In addition, a direct service provider must annually and
   22  satisfactorily complete a 2-hour course in medication
   23  administration and error prevention provided by the agency or
   24  its designee.
   25         (a) Competency must be assessed and validated at least
   26  annually if oral or enteral medication administration is
   27  performed in the an onsite setting and must include personally
   28  observing the direct service provider satisfactorily:
   29         1.(a) Supervising the oral or enteral self-administration
   30  of medication by a client; and
   31         2.(b) Orally or enterally administering medication to a
   32  client.
   33         (b) Competency must be assessed and validated during the
   34  initial medication administration training course if otic,
   35  transdermal, or topical medication administration is performed
   36  in the onsite setting. The competency assessment must include
   37  personally observing the direct service provider satisfactorily
   38  simulating otic, transdermal, or topical medication
   39  administration.
   40         (c) Competency must be assessed and validated and need not
   41  be revalidated if ophthalmic, rectal, or inhaled medication
   42  administration is performed in the onsite setting. The
   43  competency assessment must include the performance of
   44  ophthalmic, rectal, or inhaled medication administration on an
   45  actual client in the onsite setting.
   46         (3) A direct service provider may supervise the self
   47  administration of medication by a client or may administer
   48  medication to a client only if the client, or the client’s
   49  guardian or legal representative, has given his or her informed
   50  consent to self-administering medication under the supervision
   51  of an unlicensed direct service provider or to receiving
   52  medication administered by an unlicensed direct service
   53  provider. Such informed consent must be based on a description
   54  of the medication routes and procedures that the direct service
   55  provider is authorized to supervise or administer. Only a
   56  provider who has received appropriate training and has been
   57  validated as competent may supervise the self-administration of
   58  medication by a client or may administer medication to a client.
   59         (4) The determination of competency and annual validation
   60  described required in this section shall be conducted by a
   61  registered nurse licensed pursuant to chapter 464 or a physician
   62  licensed pursuant to chapter 458 or chapter 459.
   63         (5) The agency shall establish by rule standards and
   64  procedures that a direct service provider must follow when
   65  supervising the self-administration of medication by a client
   66  and when administering medication to a client. Such rules must,
   67  at a minimum, address requirements for labeling medication,
   68  documentation and recordkeeping, the storage and disposal of
   69  medication, instructions concerning the safe administration of
   70  medication or supervision of self-administered medication,
   71  informed-consent requirements and records, and the training
   72  curriculum and validation procedures.
   73         Section 2. This act shall take effect July 1, 2018.
   74  
   75  ================= T I T L E  A M E N D M E N T ================
   76  And the title is amended as follows:
   77         Delete everything before the enacting clause
   78  and insert:
   79                        A bill to be entitled                      
   80         An act relating to medication administration training;
   81         amending s. 393.506, F.S.; revising competency
   82         assessment and validation requirements for direct
   83         service providers who administer or supervise the
   84         self-administration of medication;; providing an
   85         effective date.