|(a) Application. An educational institution accredited
by the Texas Workforce Commission or Texas Higher Education Coordinating
Board that desires to offer a training program must file an application
for approval on an HHSC form. Programs sponsored by state agencies
for the training and preparation of their own employees are exempt
from the accreditation requirement. An approved institution may offer
the training program and a continuing education program.
(1) All signatures on HHSC forms and supporting documentation
must be originals.
(2) The application must include:
(A) the anticipated dates of the program;
(B) the location(s) of the classroom instruction and
(C) the name of the coordinator of the program;
(D) a list that includes the address and telephone
number of each instructor and any other persons responsible for the
conduct of the program; and
(E) an outline of the program content and curriculum
if the curriculum covers more than HHSC established curricula.
(3) HHSC may conduct an inspection of the classroom
instruction and training site.
(4) HHSC sends notice of approval or proposed denial
of the application to the program within 30 days after receiving a
complete application. If HHSC proposes to deny the application due
to noncompliance with the requirements of Texas Health and Safety
Code, Chapter 242, Subchapter N, or this chapter, the reasons for
denial are given in the notice.
(5) An applicant may request in writing a hearing on
a proposed denial. The applicant must submit a request within 15 days
after the applicant receives notice of the proposed denial. The hearing
is governed by 1 TAC Chapter 357, Subchapter I (relating the Hearings
under the Administrative Procedure Act); 40 TAC Chapter 91 (relating
to Hearings under the Administrative Procedure Act); and Texas Government
Code, Chapter 2001. If no request is made, the applicant has waived
the opportunity for a hearing, and the proposed action may be taken.
(b) Basic training program.
(1) A training program must include the following instruction
(A) procedures for preparation and administration of
(B) responsibility, control, accountability, storage,
and safeguarding of medications;
(C) use of reference material;
(D) documentation of medications in resident's clinical
records, including PRN medications;
(E) minimum licensing standards for facilities covering
pharmaceutical service, nursing service, and clinical records;
(F) federal and state certification standards for participation
under Title XVIII (Medicare) and Title XIX (Medicaid) of the Social
Security Act pertaining to pharmaceutical service, nursing service,
and clinical records;
(G) lines of authority in the facility, including facility
personnel who are immediate supervisors;
(H) responsibilities and liabilities associated with
the administration and safeguarding of medications;
(I) allowable and prohibited practices of medication
aides in the administration of medication;
(J) drug reactions and side effects of medications
commonly administered to facility residents; and
(K) rules covering the medication aide program.
(2) The program must consist of 140 hours in the following
sequence: 100 hours of classroom instruction and training; 20 hours
of return skills demonstration laboratory; 10 hours of clinical experience,
including clinical observation and skills demonstration under the
direct supervision of a licensed nurse in a facility; and 10 hours
of return skills demonstration laboratory. A classroom instruction
and training or laboratory hour must include 50 minutes of actual
classroom instruction and training or laboratory time.
(A) Class time must not exceed:
(i) four hours in a 24-hour period for a facility training
(ii) eight hours in a 24-hour period for a correctional
facility training program.
(B) The completion date of the program must be:
(i) a minimum of 60 days and a maximum of 180 days
after the starting date of the facility training program; or
(ii) a minimum of 30 days and a maximum of 180 days
after the starting date of a correctional facility training program.
(3) Each program must follow the curricula established
(4) Before a student begins a training program, the
(A) ensure the student meets training requirements
in §557.107(b)(1) - (9) of this chapter (relating to Training
Requirements; Nursing Graduates; Reciprocity);
(B) check the EMR to verify that the student is not
listed as unemployable;
(C) check the NAR to verify if the student is listed
in revoked or suspended status; and
(D) document the findings of the criminal history check
and employability check in its records.
(5) At least seven days before the beginning of a training
program, the coordinator must notify HHSC in writing of the dates
and daily hours of the program, and the projected number of students.
(6) A change in any information presented by the program
in an approved application, including location, instructors, and content
must be approved by HHSC before the change is implemented.
(7) The program instructors of the classroom instruction
and training hours must be a registered nurse and registered pharmacist.
(A) The nurse instructor must have:
(i) a minimum of two years of experience in caring
for individuals in a long-term care setting or be an instructor in
a school of nursing, for a facility training program; or
(ii) a minimum of two years of experience employed
in a correctional setting or be an instructor in a school of nursing,
for a correctional facility program.
(B) The pharmacist instructor must have:
(i) a minimum of one year of experience and be currently
employed as a consultant pharmacist in a facility; or
(ii) a minimum of one year of experience employed as
a pharmacist in a correctional setting.
(8) The program coordinator must provide clearly defined
and written policies regarding each student's clinical experience
to the student, the administrator, and the director of nursing in
the facility used for the clinical experience.
(A) The clinical experience must be counted only when
the student is performing functions involving medication administration
and under the direct supervision of a licensed nurse.
(B) The program coordinator must be responsible for
final evaluation of the student's clinical experience.
(9) Each program must issue to each student, upon successful
completion of the program, a certificate of completion, which must
include the program's name, the student's name, the date of completion,
and the signature of the program coordinator or administrative official.
(10) Each program must inform HHSC on the HHSC class
roster form of the final grade results for each student within 15
days after the student's completion of the course and prior to scheduling
(c) Continuing education training program.
(1) The program must consist of at least seven hours
of classroom instruction and training or online instruction.
(2) The instructors must meet the requirements in subsection
(b)(7) of this section.
(3) Each program must follow the curricula established
by HHSC or the curriculum established by TDCJ for corrections medication
aides, as applicable.
(4) Within 10 days after a medication aide's completion
of the course, each program must inform HHSC on the HHSC class roster
form of the name of each medication aide who has completed the course.
(d) In developing a training program for corrections
medication aides that complies with Texas Government Code §501.1485,
TDCJ may modify, as appropriate, the content of the training program
curriculum originally developed under Texas Health and Safety Code,
Chapter 242, to produce content suitable for administering medication
in a correctional facility. The training program curriculum must be
approved by HHSC.
(e) Subsection (c) of this section applies to a training
program for medication aides and correction medication aides.