Amends TCA Title 4 and Title 68, Chapter 11, Part 2.

Present law provides that in exercising the authority to administer medications pursuant to a physician's or licensed nurse's delegation, a certified medical assistant may administer only those medications that have been ordered by an authorized healthcare provider and are in single-dose, appropriately labeled, ready-to-administer packaging, including the categories of intramuscular or subcutaneous medications; oral, sublingual, and buccal medication; topical creams and ointments; saline solutions for simple wound irrigation; eye drops; inhalation treatments, either metered hand-held inhalants or unit dose nebulizers; ear medications; or nasal medications.<br /> <br /> This bill revises the provisions above as follows:<br /> <br /> (1) It removes the requirement that the medications are in single-dose, appropriately labeled, ready-to-administer packaging, providing instead that the medications are consistent with the policies and procedures of the applicable licensed facility;<br /> <br /> (2) It adds to the medications specifically listed in the provision vaccines from single or multi-dose vials or packaging, rectal medications, and medications prepared by the certified medical assistant for administration by the provider; and<br /> <br /> (3) It authorizes a certified medical assistant to prepare, as well as administer, the listed medications.<br /> <br /> PROHIBITED DELEGATION<br /> <br /> Present law prohibits a physician or licensed nurse from delegating to a certified medical assistant the administration of the following medications:<br /> <br /> (1) Intravenous medications;<br /> <br /> (2) Blood or blood products;<br /> <br /> (3) Investigational drugs;<br /> <br /> (4) Chemotherapy drugs;<br /> <br /> (5) Drugs given through an implanted device;<br /> <br /> (6) Insulin;<br /> <br /> (7) Controlled substances;<br /> <br /> (8) Anesthetic agents;<br /> <br /> (9) Medications used for cosmetic procedures;<br /> <br /> (10) A medication requiring calculation of dosage;<br /> <br /> (11) Contrast media;<br /> <br /> (12) Allergy antigen agents; or<br /> <br /> (13) A medication requiring patient monitoring and assessment of response when a licensed nurse or physician is not immediately available to provide monitoring or assessment. <br /> <br /> This bill adds to the present law by also prohibiting the preparation of (1)-(13). This bill also modifies (10) to include vaccinations that require the calculation of dosages. <br />