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State assisted living law increasingly allows medication aides (they are called various things, depending on the state) to administer medication in assisted living facilities Delegated Authority.In this model, an aide in an assisted living facility is presumed to have received specific training and supervision from a nurse in order to administer medication.

“Delegated authority” in some cases is limited to a specific resident, but more frequently the aide may administer medication to any resident in the facility. Because a nurse is not required when a resident is able to self-administer medication, some states broadly define “assistance with self-administration” so that non-nurses can provide the necessary assistance.Most medication administration in assisted living is performed by non-nurses.State assisted living laws assume that most assisted living facilities cannot afford to hire full-time nurses.For example, “assistance with self-administration” has been defined to include opening a medication container, pouring medication, guiding a resident’s hand (with medication) to her mouth, or even placing medication on the resident’s tongue.Documenting Medication Administration Generally, an assisted living facility must have a procedure for documenting medication administration, including a procedure to follow should an error occur.

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