Medication Training Requirements for RCFE’s

Medication training requirements for RCFE’s,  Assisted Living and “Board and Care” homes
AB 2609 (Evans), CHAPTER 615, STATUTES OF 2006
Affects: Residential Care Facilities for the Elderly (RCFEs)
Subject: RCFEs: Medication Training for Direct Care Staff

Summary: This new law, which is effective January 1, 2008, adds Section 1569.69 to the Health and Safety Code.

It requires direct care staff in RCFEs, excluding licensed medical professionals, to meet specified training requirements, including passing an
examination, in order to be able to assist residents with the self-administration of
medications.

It does not authorize unlicensed personnel to directly “administer” medications.

Who must take this training?

ALL  staff members that will be assisting any resident with self-administration of medications, including the administrator, must complete the training requirement.

Licensed medical professionals (example RN, LVN) do not have to complete the training requirement.

What does this mean?
If you Have 6 residents or less:

  • 4 hours of initial training or instruction (covering the nine medication topics in 1569.69) within the first two weeks of employment
  • 2 hours of hands-on shadowing training in the facility prior to assisting residents with self-administration of medications
  • An exam that tests the employee’s comprehension of and competency in the nine medication topics
  • 4 hours of in-service training on medication-related topics every 12 months
  • If you have 16 or more residents
  • 8 hours of initial training or instruction (covering the nine medication topics in 1569.69) within the first two weeks of employment
  • 8 hours of hands-on shadowing training in the facility prior to assisting residents with self-administration of medications
  • An examination that tests the employee’s comprehension of and competency in the nine medication topics
  • 4 hours of in-service training on medication-related topics every 12 months

For 16 or more residents:
This law requires 16 hours of initial training on specified topics relating to medications
(including eight hours of hands-on shadowing and eight hours of other training or
instruction) for staff who assist residents with the self-administration of medications in
facilities licensed with a capacity of 16 or more residents.

The training material and exam for all RCFEs must be developed by, or in consultation with, a licensed nurse,
pharmacist or physician. Each employee who received the initial training and passed the required exam, and who continues to assist with the self-administration of medications, must also complete four hours of in-service training on medication-related issues in each succeeding 12-month period.
RCFEs licensed to provide care for 16 or more residents must maintain documentation
that demonstrates that a consultant pharmacist or nurse has reviewed the facility’s
medication management program and procedures at least twice a year.
Licensees must encourage pharmacists and licensed medical professionals to use
“plain English” (no abbreviations, symbols, or Latin medical terms in instructions) when
preparing labels on medications supplied to residents.

SOURCE: ccld.ca.gov

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