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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 557MEDICATION AIDES--PROGRAM REQUIREMENTS
RULE §557.128Home Health Medication Aides

  (10) apply topical medications that involve the treatment of skin that is broken or blistered when a specified aseptic technique is ordered by the attending physician;

  (11) administer medications from any container other than the manufacturer's original container or the original container in which the medication had been dispensed and labeled by the pharmacy with all information mandated by the Texas State Board of Pharmacy;

  (12) steal, divert, or otherwise misuse medications;

  (13) violate any provision of the statute or of this chapter;

  (14) fraudulently procure or attempt to procure a permit;

  (15) neglect to administer appropriate medications, as prescribed, in a responsible manner; or

  (16) administer medications if the person is unable to do so with reasonable skill and safety to clients by reasons of drunkenness, inappropriate use of drugs, narcotics, chemicals, or any other type of material.

(e) Applicant qualifications. Each applicant for a permit issued under Texas Health and Safety Code, Chapter 142, Subchapter B must complete a training program. Before enrolling in a training program and applying for a permit under this section, all applicants:

  (1) must be able to read, write, speak, and understand English;

  (2) must be at least 18 years of age;

  (3) must be free of communicable diseases and in suitable physical and emotional health to safely administer medications;

  (4) must be a graduate of an accredited high school or have proof of successfully passing a general educational development test;

  (5) must have satisfactorily completed a home health aide training and competency evaluation program or a competency evaluation program under §558.701 of this title;

  (6) must not have a criminal history that HHSC determines is a basis for denying the permit under §557.121 of this chapter (relating to Permitting of Persons with Criminal Backgrounds);

  (7) must not be listed as unemployable on the EMR; and

  (8) must not be listed with a revoked or suspended status on the NAR.

(f) Nursing graduates. A person who is a graduate of an accredited school of nursing and who does not hold a license to practice professional or vocational nursing meets the training requirements for issuance of a permit under this section if the date of graduation from the nursing school was no earlier than January 1 of the year immediately preceding the year of application for a permit under this section.

  (1) The applicant must submit an HHSC application form to HHSC. The applicant must meet the requirements of subsection (e)(1) - (6) of this section.

  (2) The application must be accompanied by the combined permit application and examination fee.

  (3) The applicant must include an official transcript documenting graduation from an accredited school of nursing.

  (4) HHSC acknowledges receipt of the application by sending the applicant a copy of this chapter and HHSC open book examination.

  (5) The applicant must complete the open book examination and return it to HHSC by the date given in the examination notice.

  (6) The applicant must complete HHSC written examination. HHSC determines the site of the examination. HHSC denies the application of an applicant failing to schedule and take the examination by the date given in the examination notice.

  (7) An open book or written examination may not be retaken if the applicant fails.

  (8) Upon successful completion of the two examinations, HHSC evaluates all application documents submitted by the applicant.

  (9) HHSC notifies the applicant in writing of the examination results.

(g) Nursing students. A person who is attending or has attended an accredited school of nursing and who does not hold a license to practice professional or vocational nursing meets the training requirements for issuance of a permit under this section if the person:

  (1) attended the nursing school no earlier than January 1 of the year immediately preceding the year of application for a permit under this section;

  (2) successfully completed courses at the nursing school that cover HHSC curriculum for a home health medication aide training program;

  (3) submits a statement with the person's application for a permit under this section, that is signed by the nursing school's administrator or other authorized individual who is responsible for determining that the courses that he or she certifies cover HHSC curriculum and certifies that the person completed the courses specified under paragraph (2) of this subsection; and

  (4) complies with subsection (f)(1), (2), and (4) - (9) of this section.

(h) Reciprocity. A person who holds a valid license, registration, certificate, or permit as a home health medication aide issued by another state whose minimum standards or requirements are substantially equivalent to or exceed the requirements of this section in effect at the time of application may request a waiver of the training program requirement as follows:

  (1) The applicant must submit an HHSC application form to HHSC. The applicant must meet the requirements of subsection (e)(1) - (4) of this section.

  (2) The application must be accompanied by the combined permit application and exam fee.

  (3) The application must include a current copy of the rules of the other state governing its licensing and regulation of home health medication aides, a copy of the legal authority, including the law, act, code, or section, for the state's licensing program, and a certified copy of the license or certificate by which the reciprocal permit is requested.

  (4) HHSC acknowledges receipt of the application by sending the applicant a copy of this chapter and of HHSC open book examination.

  (5) HHSC may contact the issuing agency to verify the applicant's status with the agency.

  (6) The applicant must complete HHSC open book examination and return it to HHSC by the date given in the examination notice.

  (7) The applicant must complete HHSC written examination. The site of the examination is determined by HHSC. HHSC denies the application of an applicant failing to schedule and take the examination by the date given in the examination notice.

  (8) An open book or written examination may not be retaken if the applicant fails.

  (9) Upon successful completion of the two examinations, HHSC evaluates all application documents submitted by the applicant.

  (10) HHSC notifies the applicant in writing of the examination results.

(i) Application by trainees.

  (1) An applicant under subsection (e) of this section must, no later than 20 days after enrollment in a training program:

    (A) complete an application, including the following materials:

      (i) the general statement enrollment form, which must contain:

        (I) specific information regarding the applicant's personal data, certain misdemeanor and felony convictions, work experience, education, and training;

        (II) a statement that the applicant has met all the requirements in §557.107(b) of this chapter (relating to Training Requirements; Nursing Graduates; Reciprocity) before the start of the program;

        (III) a statement that the applicant understands that application fees submitted in the permit process are nonrefundable;

        (IV) a statement that the applicant understands materials submitted in the application process are nonreturnable;

        (V) a statement that the applicant understands that it is a misdemeanor to falsify any information submitted to HHSC; and

        (VI) the applicant's signature, which has been dated and notarized; and

      (ii) a certified copy or a notarized photocopy of the applicant's unaltered, original, high school diploma or transcript or the written results of a general educational development (GED) test demonstrating that the applicant passed the GED test, unless the applicant is applying under subsection (f) of this section;

    (B) submit the application to HHSC; and

    (C) submit fingerprints to the Texas Department of Public Safety for a Federal Bureau of Investigations criminal background check.

  (2) HHSC considers an application as officially submitted when HHSC receives the nonrefundable combined permit application and examination fee payable to the Health and Human Services Commission. The fee required by subsection (n) of this section must accompany the application form.

Cont'd...

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