Medication Aide

A Medication Aide (MA) may assist (1) competent individuals, (2) caretakers who are parents, foster parents, family, friends or legal guardians, and (3) licensed health care professionals to administer medications. A medication aide must be on the Medication Aide Registry kept by the Licensure Unit.
(continued description)

green bar

green bar

Medication Aide continued...
A medication aide must have demonstrated basic competency in the provision of medication according to the "five rights" to qualify for placement on the Registry. Medication aides who provide medications in a nursing home, ICF-MR, or an assisted living facility must also have completed a 40 hour course and passed a Medication Aide examination conducted by a state-approved testing center.

The administration of medication is a regulated activity. Medication aides may only provide medications under circumstances when a competent individual, a caretaker, or licensed health care professional provides direction and monitoring. The medication aide is responsible to get the right drug to the right recipient in the right dosage by the right route at the right time (five rights). The individual providing direction and monitoring is responsible to observe and take appropriate action regarding any desired effects, side effects, interactions, and contraindications associated with the medication.

Exceptions to the Regulation of Medication Administration

Individuals who provide medications in child care settings and schools must have demonstrated competence in the provision of medication but are not required to be on the Medication Aide Registry. The PDF File Medication Aide Act does not apply to medications administered in the home unless provided by a licensed home health agency or through certified home and community-based providers. The Act also does not apply to the administration of medication in foster family homes, group homes, child-caring agencies and child placing agencies.

Top of Page

green bar

Requirements for Registration

To qualify for placement on Registry as a Medication Aide, an applicant must:

  1. Have demonstrated the minimum competencies for placement on the Registry;
  2. Be at least 18 years of age; 
  3. Be of good moral character.
  4. Be a U.S. citizen, or qualified alien under the Federal Immigration Naturalization Act.

To qualify for placement on the Registry as a Medication Aide 40 Hour an applicant must:

  1. Have demonstrated the minimum competencies for placement on the Registry;
  2. Be at least 18 years of age;
  3. Be of good moral character;
  4. Have completed a 40 hour course; 
  5. Have passed an examination approved by the Department.
  6. Be a U.S. citizen, or qualified alien under the Federal Immigration Naturalization Act.

Top of Page

green bar

Procedures to Apply for Registration

To apply for registration as a Medication Aide, you must:

  1. Submit a completed PDF File application for registration. The competency standards can be found in the Medication Aide Regulations.
  2. Pay a non-refundable application fee of $18   

To apply for registration as a Medication Aide 40-Hour, you must:

  1. Submit a completed PDF File application for registration. The competency standards can be found in the Medication Aide Regulations.
  2. Successfully complete the 40-hour Medication Aide examination conducted by a state-approved testing center. You do not need to take any action to demonstrate successful completion of the examination as the records are provided to the Department by the testing center. Information regarding examinations can be found in the Examination Section.
  3. Pay a non-refundable application fee of $18 

Top of Page

green bar

Competency Requirements

In addition to Medication aides, child care providers and staff members of schools must demonstrate competency in the provision of medication. Childcare providers and staff members of schools should maintain their own records of competency assessment. Medication Aides and Medication Aide 40 hours, must submit to the Licensure Unit, an application for registration as a medication aide, which includes the documentation of competency section.

Top of Page

green bar

Examination

Medication Aides who provide medications in a nursing home, an ICF-DD, or an assisted living facility must pass a state approved examination that tests minimum competency for medication provision.  Passing score is 72% or greater. 

Two post secondary education providers have been approved to proctor the written medication aide examination.  The Licensure Unit will approve Medication Aide examinations and procedures.

To take the examination, contact one of the following providers approved to conduct the Medication Aide 40-hour written examination:

Nebraska Health Care Learning Center
1200 Libra Drive, Suite 100
Lincoln, Nebraska 68512
Phone (402) 435-3551
Website for Medication Aid/Nurse Aid training

 

Providence Health Career Institute
4600 Valley Road, Suite 401
Lincoln, NE 68510
Phone (402) 326-2792 or (402) 364-2330
www.providencehealthcareer.com

Questions regarding testing should be directed to the examination provider.

Grades will be forwarded to the Medication Aide Registry by the examination providers. The information will be entered on the Registry.

Fees for examinations are determined by the examination provider and must be remitted to the examination provider.

Medication Aides will continue to apply for registration and renewal to the Medication Aide Registry by submitting the required documentation and $18.00 non-refundable fee to the Department of Health and Human Services address on the application.

Once all registration requirements have been met, an individual will be placed on the Medication Aide Registry and will be issued a Medication Aide card.

Top of Page

green bar

Fees

Application and renewal fees are $18.00, non-refundable, and must be paid before your name can be placed on the Medication Aide Registry.

PDF File Fee Schedule

Top of Page

green bar

Applications

These forms cannot be completed online.  They cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. You must print the form and mail it to the address listed below:

DHHS, Division of Public Health
Licensure Unit
Medication Aides
PO Box 94986
Lincoln, NE 68509-4986

PDF File Address Change Form
PDF File Affidavit of Not Providing Services/Providing Services (discontinued 9/6/13)
PDF File Application for Registration
PDF File Application for Renewal (2 pages) New form as of 5/01/14
PDF File Reapplication for Medication Aide Registration
PDF File Course Completion (discontinued 8/28/13)
PDF File Name Change Form
PDF File Reissuance of Medication Aide Registration Card(s) Form

Top of Page

green bar

Renewal

** If your Medication Aide registration has expired, do not use the "Application for Renewal" form. To reapply to the Medication Aide Registry, go to the section titled "Inactive" for the correct forms to reapply to the Medication Aide Registry.

Regulations require you to provide your Social Security Number on applications/renewals. Please clearly and accurately write your Social Security Number on the appropriate line of the application/renewal.

All Medication Aide registrations shall expire two years after the date of registration issuance. Renewal notices will be mailed to individuals at the address we have on the Medication Aide Registry approximately 90 days prior to their expiration date. To renew, a Medication Aide must complete the PDF File Application for Renewal within 90 days preceding the period for which the requested registration will be effective and pay the $18 non-refundable renewal fee. If you are unsure of the expiration date, you may check the Medication Aide Registry. If you have not received your renewal notice, please check the Medication Aide Registry to verify the Department has your most current address. All registrants who fail to renew their registration by the expiration date will automatically have their registration status changed to EXPIRED and will not be eligible to provide medications until registration is complete and your status on the Medication Aide Registry is ACTIVE.

Top of Page

 

green bar

Inactive or Expired Medication Aide Registration

If you are an INACTIVE or EXPIRED Medication Aide you must do the following:

You do not need to repeat the 40-hour course nor retake the state written examination to reapply as a Medication Aide 40-hour.

green bar

Provision of Medications by a Medication Aide

The administration of medication is a regulated activity. Administration of medication includes three components:

  1. The physical act of taking/providing/applying a medication;
  2. Documentation of the physical act (in some circumstances); and
  3. Monitoring the therapeutic effects of the medication and taking appropriate action.

All of the components of administration may be performed by a recipient with the capability and capacity to make informed decision about medications, a caretaker (parents, foster parents, family, friends or legal guardians), or by a licensed health care professional. There are circumstances under which it is appropriate and desirable for recipients, caretakers, and licensed health care professionals to receive help with the administration of medication. Medication Aides provide this help by performing the first two components of administration.

Medication Aides may provide medications according to the five rights and document the provision only when a recipient with capability and capacity, a caretaker, or a licensed health care professional has authorized such provision and agrees to provide monitoring of the therapeutic effects of the medication and direction to the Medication Aide.

When direction and monitoring is provided, medication aides may provide routine medications by the oral, inhalation, topical and instillation routes. Routine medications are those for which the frequency of administration of medication, and the amount, strength, and method of administration is specifically fixed. Under certain conditions medication aides may be authorized to provide PRN medications, medications by additional routes, and to participate in monitoring.

Please note that individuals must have an active registration in order to provide medications. 

Top of Page

green bar

Medication Aide 40-Hour Course

Medication Aides working in Assisted Living Facilities, ICF-DD Facilities or Nursing Homes are required to complete a 40 hour course on the competencies required for the provision of medication. The courses are typically offered by facilities and the community colleges. The State of Nebraska does not have a listing of available courses. Interested persons should contact a prospective employer or community college for further information.

Nursing students can meet the course requirements by having an instructor in an approved program verify that the student has completed coursework related to the competencies. Applicants from other states can meet the course requirements by providing a record of course completion in the other state as long as their course consisted of at least 40 hours. Nursing students and out-of-state applicants who meet the course requirement are still required to demonstrate competency and take and successfully complete the Medication Aide 40-hour examination conducted by a State approved testing center.

Top of Page

green bar

Medication Aide 40-Hour from another state

The following is needed to become a Medication Aide 40-hour from another State:

  1. Successful completion of the 40-hour Medication Aide examination conducted by a Nebraska approved testing center  
  2. Completed PDF File Application for Registration. The competency standards can be found in the Medication Aide Regulations
  3. Completed  Documentation of Course Completion (this can be a certificate from your course with the number of hours included)
  4. Non-refundable fee of $18.00

Top of Page

green bar

Medication Aide 40-Hour - Nursing Students

The following is needed for Nursing Students to meet the requirements for registration as a Medication Aide 40-hour:

  1. Successful completion of the 40 hour Medication Aide examination conducted by a Nebraska-approved testing center.
  2. Completed PDF File Application for Registration (check the Medication Aide-40 hour box). The competency standards can be found in the Medication Aide Regulations.    
  3. Non-refundable fee of $18.00

Top of Page

green bar

Rules and Regulations/Statutes

PDF File Regulations Governing the Provision of Medications by Medication Aides and other Unlicensed Persons - 172 NAC 95
PDF File Regulations Governing the Medication Aide Registry - 172 NAC 96
PDF File Statutes relating to the Medication Aide Act (NEW! Effective September 6, 2013)

Top of Page

green bar

Name and Address Change

To request an address change, you can fill out the Address Change Form, call Sherri Joyner at (402) 471-4364, or e-Mail at sherri.joyner@nebraska.gov.

In order to change your name on your Medication Aide record, you must mail the name change form along with a copy of one item of documentation.  Acceptable documentation includes:  marriage certificate, divorce decree which states the name has been changed, or court order of legal change of name.  (If you have both a Nurse Aide and a Medication Aide registration, you only need one name change form to change your name on both Registries.) 

If you need a duplicate Medication Aide licensure card, you will need to fill out a Reissuance of Medication Aide Registration Card(s) Form and submit a $10 fee for each card  you order. 

You can also change your name when you are renewing your Medication Aide registration at no additional cost by crossing out the old name at the top of the renewal form and submitting a copy of the documentation with your renewal form.  Your renewed registration card will be issued in your new name. 

(If you also have a Nurse Aide record, please do NOT send any money for a new Nurse Aide licensure document as we do NOT issue any licensure documents for Nurse Aides in Nebraska.)  

If you are not able to print off the name change form, you could submit a written request which includes your old name, new name, Social Security Number, mailing address, phone number, reason for name change, and notarized signature.  Be sure to include one item of documentation. 

Licensure Unit
Office of Nursing and Nursing Support
PO Box 94986
Lincoln, NE 68509-4986

Top of Page

green bar

Contact Us

Mailing Address Physical Address
Nebraska Department of Health and Human Services - Licensure Unit
Office of Nursing and Nursing Support
PO Box 94986
Lincoln, NE 68509-4986
Nebraska State Office Building
301 Centennial Mall South
14th and M Streets
3rd Floor
Lincoln, Nebraska

Phone: (402) 471-4364
Fax: (402) 471-1066

Office Hours:

8:00 a.m. to 5:00 p.m. (central time)
Monday through Friday

40 hour Medication Aide - Application/Grades/Medication Aide Registry
Sherri Joyner, Health Licensing Specialist
Phone: (402) 471-4364
E-Mail: sherri.joyner@nebraska.gov

Medication Aide Applications - Medication Aide and Medication Aide 40 hour Renewals
Teresa Luse, Health Licensing Specialist
Phone: (402) 471-4910
E-Mail: teresa.luse@nebraska.gov

Medication Aide Role/Practice Standards
Connie Wagner, RN, BSN
Program Manager
Phone: (402) 471-4969
Fax: (402) 471-1066
E-Mail: connie.wagner@nebraska.gov

Top of Page

green bar

Brochures

PDF File Chemical Dependency in Health Care Professionals

Top of Page

green bar

Documents in PDF format require the use of Adobe Acrobat Reader which can be downloaded for free from Adobe Systems, Inc.  Get Adobe Acrobat Reader

Nursing Index Page

Licensure Unit Page