West Virginia Code § 16B-10-7

Oversight of medication administration and performance of health
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maintenance tasks by the approved medication assistive personnel.
(a) Any facility in which medication is administered or health maintenance tasks performed
by the approved medication assistive personnel shall establish an administrative monitoring
system in administrative policy. The specific requirements of the administrative policy shall
be established by the Inspector General, through legislative rules. These rulees shall be
developed in consultation with the West Virginia Board of Examiners for Registered Nurses,
the West Virginia Nurses Association, the West Virginia Statewide Inderpendent Living
Council, and the West Virginia Board of Respiratory Care. These rules are required to
include, at a minimum:
(1) Instructions on protocols for contacting an appropriate htealthcare professional in
situations where a condition arises which may create a risk to the resident's health and
safety;
(2) The type and frequency of monitoring and trainling requirements for management of
these occurrences; and s
(3) Procedures to prevent drug diversion. i
(b) Monitoring of facility staff members authorized pursuant to this article shall be
performed by a registered professional nurse employed or contracted by the facility, who
shall exercise judgment, evaluate and assess the patient, inject medicine, except prefilled
insulin and insulin pens if this task is delegated to an approved medication assistive person,
and monitor medications, self-administration of medications and self-injections by the
resident in accordance with his or her scope of practice.

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