Florida Senate - 2018                             CS for SB 1788
       
       
        
       By the Committee on Children, Families, and Elder Affairs; and
       Senator Passidomo
       
       
       
       
       586-02594-18                                          20181788c1
    1                        A bill to be entitled                      
    2         An act relating to medication administration training;
    3         amending s. 393.506, F.S.; revising competency
    4         assessment and validation requirements for direct
    5         service providers who administer or supervise the
    6         self-administration of medication; providing an
    7         effective date.
    8          
    9  Be It Enacted by the Legislature of the State of Florida:
   10  
   11         Section 1. Subsections (2) and (4) of section 393.506,
   12  Florida Statutes, are amended, and subsections (1), (3), and (5)
   13  of that section are republished, to read:
   14         393.506 Administration of medication. —
   15         (1) A direct service provider who is not currently licensed
   16  to administer medication may supervise the self-administration
   17  of medication or may administer oral, transdermal, ophthalmic,
   18  otic, rectal, inhaled, enteral, or topical prescription
   19  medications to a client as provided in this section.
   20         (2) In order to supervise the self-administration of
   21  medication or to administer medications as provided in
   22  subsection (1), a direct service provider must satisfactorily
   23  complete a training course of not less than 8 4 hours in
   24  medication administration and be found competent to supervise
   25  the self-administration of medication by a client or to
   26  administer medication to a client in a safe and sanitary manner.
   27  In addition, a direct service provider must annually and
   28  satisfactorily complete a 2-hour course in medication
   29  administration and error prevention provided by the agency or
   30  its designee.
   31         (a) Competency must be assessed and validated at least
   32  annually if oral or enteral medication administration is
   33  performed in the an onsite setting and must include personally
   34  observing the direct service provider satisfactorily:
   35         1.(a) Supervising the oral or enteral self-administration
   36  of medication by a client; and
   37         2.(b) Orally or enterally administering medication to a
   38  client.
   39         (b) Competency must be assessed and validated during the
   40  initial medication administration training course if otic,
   41  transdermal, or topical medication administration is performed
   42  in the onsite setting. The competency assessment must include
   43  personally observing the direct service provider satisfactorily
   44  simulating otic, transdermal, or topical medication
   45  administration.
   46         (c) Competency must be assessed and validated and need not
   47  be revalidated if ophthalmic, rectal, or inhaled medication
   48  administration is performed in the onsite setting. The
   49  competency assessment must include the performance of
   50  ophthalmic, rectal, or inhaled medication administration on an
   51  actual client in the onsite setting.
   52         (3) A direct service provider may supervise the self
   53  administration of medication by a client or may administer
   54  medication to a client only if the client, or the client’s
   55  guardian or legal representative, has given his or her informed
   56  consent to self-administering medication under the supervision
   57  of an unlicensed direct service provider or to receiving
   58  medication administered by an unlicensed direct service
   59  provider. Such informed consent must be based on a description
   60  of the medication routes and procedures that the direct service
   61  provider is authorized to supervise or administer. Only a
   62  provider who has received appropriate training and has been
   63  validated as competent may supervise the self-administration of
   64  medication by a client or may administer medication to a client.
   65         (4) The determination of competency and annual validation
   66  described required in this section shall be conducted by a
   67  registered nurse licensed pursuant to chapter 464 or a physician
   68  licensed pursuant to chapter 458 or chapter 459.
   69         (5) The agency shall establish by rule standards and
   70  procedures that a direct service provider must follow when
   71  supervising the self-administration of medication by a client
   72  and when administering medication to a client. Such rules must,
   73  at a minimum, address requirements for labeling medication,
   74  documentation and recordkeeping, the storage and disposal of
   75  medication, instructions concerning the safe administration of
   76  medication or supervision of self-administered medication,
   77  informed-consent requirements and records, and the training
   78  curriculum and validation procedures.
   79         Section 2. This act shall take effect July 1, 2018.