To offer the DODD medication administration training classes or verify renewal requirements, a registered nurse, or RN, must be certified by DODD as an RN Trainer. The RN Trainer uses the Medication Administration Information System, or MAIS App, to enter qualifications so that DODD can issue certifications to qualified personnel.
RNs must attend a DODD Train the Trainer course offered by certified RN instructors around the state.
To attend the RN Train the Trainer program, an RN must hold an unrestricted license with the Ohio Board of Nursing, have 18 months full-time experience as an RN, and have previous experience working with people with developmental disabilities.
Classes include pre-program preparation, training offered by a certified RN instructor that complies with OAC 5123:2-6-04, and completion of the post-program assignments to demonstrate knowledge.
This certification is renewed every two years. RN Trainer certification always expires on August 31 of odd-numbered years. Certification renewal requires
- four hours of continuing education that relates to the information addressed in the RN Train the Trainer program or that will enhance the role of the RN Trainer,
- and RN Trainers to enter their own renewal qualification in the Medication Administration Information System, or MAIS App, prior to expiration beginning as early as 180 days prior to expiration.
RN Trainers must subscribe to the RN discussion group email list to receive important communication regarding certification and medication administration. To join, email firstname.lastname@example.org.
All nurses or people interested in developmental disabilities health may subscribe to this list.
Using the MAIS App
MAIS is the DODD application that records and tracks the medication administration certifications of unlicensed personnel and RN Trainers.
RN Trainers receive instruction about using the app in the Train the Trainer sessions. Security access to MAIS is automatically granted to RNs when they earn or renew RN Trainer certification.
Nurses can authorize non-nurses to help with data entry functions in MAIS. This is called “secretarial role” access. The secretarial role allows data entry but does not allow for finalization of certifications; only an RN Trainer can finalize certification or renewal applications.
After a non-nurse has requested DODD secretarial access to MAIS and tried to log in, the RN Trainer must go to MAIS and “associate” with the secretarial person’s record for the person to be fully granted access. RN Trainers have the option to “disassociate” and discontinue any non-nurse’s access to MAIS at any time. DODD security for the secretarial role must be renewed annually to maintain access to MAIS. View instructions for setting up secretarial personnel access to MAIS.
Secretarial personnel will use the Online Security Request. The instructions for using MAIS are the same for RN Trainers and secretarial users. RN Trainers will need to provide training to their secretarial associates using the MAIS Step-by-Step Guidelines.
Reminders for Nurses Delegating to Unlicensed Personnel
Nurses who are delegating to unlicensed personnel are required to ensure the training and supervision of those to whom medication administration and health-related tasks have been delegated. These requirements are found in OAC 4723-13 Delegation of Nursing Tasks (https://codes.ohio.gov/ohio-administrative-code/chapter-4723-13), OAC 5123:2-6-03 and OAC 5123-6-06 Authorization of developmental disabilities personnel to perform health-related activities and administer prescribed medication (https://dodd.ohio.gov/forms-and-rules/rules-in-effect/5123_2-6-03 and https://codes.ohio.gov/ohio-administrative-code/rule-5123-6-06). Please see these sources for more information.
Nurse delegation may be performed by a registered nurse or a licensed practical nurse only at the direction of the registered nurse. Direction means communicating the plan of care to a licensed practical nurse. Direction by a registered nurse is not meant to imply the registered nurse is supervising the licensed practical nurse in the employment context.
Nurse Delegation is required in the following circumstances:
- Medication administration and 13 health-related activities* in:
- Adult service settings with 17 or more people
- Residential facilities with 6 or more beds
- Early intervention, pre-school, and school age services
- Administration of Glucagon*
- Administration of medication through a stable and labeled G/J tube*
- Administration of nutrition and/or fluids through a stable and labeled G/J tube
- Administration of Insulin (by subcutaneous injection, pump, or inhaled) and injectable treatments for metabolic glycemic disorders*
- Any nursing task as defined in OAC 4723-13-01
(* Nurse Delegation and Medication Administration certification is required)
Prior to delegating to DD personnel, and annually, the delegating nurse must:
- Assess the individual and complete an evaluation of the conditions under which delegated tasks or medication administration will be done per requirements in OAC 4723-13-05
- Provide training to the DD personnel to include training on infection control and universal precautions, information and directions on concepts underlying the nursing task, direction on how to correctly perform the nursing task following step-by-step instructions
- Demonstrate the nursing task
- Provide written step-by-step instructions
- Observe and document a satisfactory return demonstration of the nursing task
- Provide individual-specific training
- DD personnel shall not administer medication or perform health-related activities for any individual for whom they have not been specifically trained.
- Ensure DD personnel hold the required medication administration certification(s)
- Document the assessment of the individual, individual-specific training, and delegation
Supervision of the performance of delegated tasks:
- Supervision of the performance of the nursing task by the unlicensed person shall be provided by the delegating nurse.
- If purpose of setting is to provide health care – supervision is on-site direct supervision
- If purpose of setting is other than provision of health care – supervision may be direct on-site or indirect (telecommunication)
- The assessment and the following factors must be used by the delegating nurse to determine the supervision required:
- The number of individuals who require nursing care and the health status of the individuals
- The types and number of nursing tasks that will be delegated
- The continuity, dependability, and reliability of the unlicensed person who will be performing delegated nursing tasks
- If the delegating nurse is responsible for more than one setting, the distance between settings, accessibility of each setting and any unusual problems that may be encountered
- The availability of emergency aid should the nurse be too far to arrive in a timely manner.