{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-1-1950.3","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-1-1950.3","heading":"Nurses aides - Employment of persons not licensed –","body":"Medication aides – Rules for medication administration.\n\nA. 1. A nursing facility, specialized facility, continuum of\n\ncare facility, assisted living center, adult day care or residential\n\nhome, or facility operated by the Oklahoma Department of Veterans\n\nAffairs, shall not employ as a nurse aide, on a full-time,\n\ntemporary, per diem, or any other basis, any individual who is not\n\ncertified as a nurse aide in good standing and is not eligible for\n\nplacement on the nurse aide registry maintained by the State\n\nDepartment of Health.\n\n2. The Department may grant a temporary emergency waiver to the\n\nprovisions of this paragraph to any nursing facility, continuum of\n\ncare facility, assisted living center or adult day care or\n\nresidential home which can demonstrate that such facility, home or\n\ninstitution has been unable to successfully meet its staffing\n\nrequirements related to the provisions of this paragraph.\n\nB. Such waiver shall require the following:\n\n1. An individual employed as a nurse aide who is enrolled in a\n\nDepartment-approved training and competency evaluation program for\n\nnurse aides shall successfully complete such training and competency\n\nevaluations within four (4) months of entering the training program;\n\n2. The individual shall obtain certification, and the\n\nDepartment shall place the nurse aide on the registry within thirty\n\n(30) days after demonstration of competency;\n\n3. Any nursing facility, specialized facility, continuum of\n\ncare facility, assisted living center, adult day care or residential\n\ncare home that employs an individual who is in nurse aide training,\n\nas provided in this section, shall ensure that the trainee shall:\n\na. complete the required training and competency program\n\nas provided in rules prior to any direct contact with\n\na resident or client,\n\nb. not perform any service for which the trainee has not\n\ntrained and been determined proficient by the\n\ninstructor, and\n\nc. be supervised at all times by no less than a licensed\n\npractical nurse; and\n\n4. No employer may use as a nurse aide an individual who has\n\nnot completed the nurse aide training and competency program within\n\nthe required four-month period.\n\nC. For purposes of this section, \"four (4) months\" means the\n\nequivalent of four (4) months of full-time employment as a nurse\n\naide by any employer in any nursing facility, specialized facility,\n\ncontinuum of care facility, assisted living center, adult day care\n\nor residential care home.\n\nD. 1. The Department may grant a trainee a one-time extension\n\nof the four-month training requirement if:\n\na. such requirement causes an undue hardship for the\n\ntrainee due to unusual circumstances or illness, and\n\nb. the trainee has demonstrated a good faith effort to\n\ncomplete the training and competency evaluation\n\nprogram.\n\n2. The State Board of Health shall promulgate rules related to\n\nthe review of and the process and conditions for such an extension.\n\nE. 1. Certified medication aides, upon successful completion\n\nof competency standards or prescribed training courses, shall be\n\neligible to distribute medications or treatments provided by\n\nparagraph 2 of this subsection within a:\n\na. correctional facility, as set forth in Section 623 of\n\nTitle 57 of the Oklahoma Statutes,\n\nb. correctional facility operated by a contractor of the\n\nDepartment of Corrections,\n\nc. county or municipal jail,\n\nd. nursing facility,\n\ne. specialized facility,\n\nf. continuum of care facility,\n\ng. assisted living center,\n\nh. adult day care,\n\ni. residential care home, or\n\nj. facilities operated by the Oklahoma Department of\n\nVeterans Affairs.\n\n2. Certified medication aides may:\n\na. perform fingerstick blood sugars,\n\nb. administer diabetic medications, including\n\nsubcutaneous injections of insulin, provided that the\n\ncertified medication aide has completed a Department-\nof care facility,\n\ng. assisted living center,\n\nh. adult day care,\n\ni. residential care home, or\n\nj. facilities operated by the Oklahoma Department of\n\nVeterans Affairs.\n\n2. Certified medication aides may:\n\na. perform fingerstick blood sugars,\n\nb. administer diabetic medications, including\n\nsubcutaneous injections of insulin, provided that the\n\ncertified medication aide has completed a Department-\n\napproved advanced training program on diabetes and the\n\nadministration of diabetes medications, including\n\ninjections,\n\nc. administer medications, first aid treatments and\n\nnutrition; by oral, rectal, vaginal, otic, ophthalmic,\n\nnasal, skin, topical, transdermal, and\n\nnasogastric/gastrostomy tubes routes, and\n\nd. administer oral metered dose inhalers and nebulizers;\n\n3. The State Board of Health shall establish rules necessary to\n\nensure the safety of medication administration by certified\n\nmedication aides, including but not limited to:\n\na. competency and practice standards for medication\n\naides,\n\nb. maintaining a list of skills and functions that\n\nmedication aides will be able to perform upon\n\ncompletion of certification course work,\n\nc. certification and recertification requirements for\n\nmedication aides,\n\nd. development of criteria and procedures for approval or\n\ndisapproval of training and competency evaluation\n\nprograms, and\n\ne. procedures for denying, suspending, withdrawing, or\n\nrefusing to renew certification for a medication aide;\n\n4. Each facility shall develop policies and procedures that\n\ncomply with the provisions of this subsection and rules promulgated\n\nby the State Board of Health. This policy shall be reviewed and\n\napproved by the facility Medical Director, Director of Nurses and/or\n\nRegistered Nurse Consultant.\n\nF. Any person convicted of violating any of the provisions of\n\nthis section or Section 1-1950.1 of this title shall be guilty of a\n\nmisdemeanor, punishable by a fine of not less than One Hundred\n\nDollars ($100.00) nor more than Three Hundred Dollars ($300.00),\n\nimprisonment in the county jail for not more than thirty (30) days,\n\nor by both such fine and imprisonment.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"cedf7a268aab68a7253f2a4673a451714c5123d5f3741785bfec4c3fe2301579","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-1-1950.2","next":"us-ok/okla.-stat.-tit.-63-63-1-1950.4"},"notice":"GroundRules: Original legal text. Not legal advice."}