West Virginia Code § 16B-10-3

Administration of medications; performance of health maintenance
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tasks; maintenance of liability insurance in facilities.
(a) The Inspector General designates the director of the Office of Health Facility Licensure
and Certification to enforce the provisions of this article, except where otherwise stated.
(b) The director shall continue a program for the administration of medications and
performance of health maintenance tasks in locations covered by this article. The program
shall be developed and conducted in cooperation with the appropriate agencies, advisory
bodies and boards.
(c) Administration of medication or performance of health maintenance tasks shall be
performed only by:
(1) Licensed health care professionals; or a
(2) Facility staff members who have been trained alnd retrained every two years and who are
subject to the supervision of and approval by an authorized registered professional nurse.
(d) After assessing the health status of an individual resident, a registered professional
nurse, in collaboration with the resident's health care professional and the facility staff
member, may recommend that the facility authorize a facility staff member to administer
medication or perform health maintenance tasks if the staff member:
(1) Has been trained pursuant to the requirements of this article;
(2) Is considered by the authorized registered professional nurse to be competent;
(3) Consults with the authorized registered professional nurse on a regular basis; and
(4) Is monitored or supervised by the authorized registered professional nurse.
(e) An agency or facility employing personnel for the purposes of supervising the
administration of medication or the performance of health maintenance tasks shall maintain
liability insurance for the licensed health care provider, any facility staff member who has
been trained and is employed to administer medication or perform health maintenance tasks
and if applicable the health care provider's collaborative supervising physician.
(f) Nothing in this article may be construed to prohibit any facility staff member from
administering medications or performing health maintenance tasks, or providing any other
prudent emergency assistance to aid any person who is in acute physical distress or requires
emergency assistance.
(g) Supervision of self-administration of medication by facility staff members who are not
licensed health care professionals may be permitted in certain circumstances, when the
substantial purpose of the setting is other than the provision of health care.

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