Rule 4723-27-03. Supervision of medication administration to certified medication aides

119.03 (A) A registered nurse or a licensed practical nurse acting at the direction of a registered nurse, who provides nursing care to residents in nursing homes or residential care facilities, may supervise the task of medication administration to by a certified medication aide according to section 4723.67 of the Revised Code and this chapter. (B) A registered nurse may supervise the administration of medications to a certified medication aide only if the registered nurse holds a current, valid license issued under Chapter 4723. of the Revised Code that is not subject to restrictions relating to the administration of medications imposed under section 4723.28 of the Revised Code, or imposed by agreement entered under section 4723.282 or 4723.35 of the Revised Code. (C) A licensed practical nurse, acting at the direction of a registered nurse, may supervise the administration of medications by a certified medication aide only if the licensed practical nurse holds a current, valid license issued under Chapter 4723. of the Revised Code that is not subject to restrictions relating to the administration of medications imposed under section 4723.28 of the Revised Code, or imposed by agreement entered under to section 4723.282 or 4723.35 of the Revised Code. (D) When supervising the task of medication administration to a certified medication aide, a nurse shall evaluate the following: (1) The resident and the medication needs of the resident, including: (a) The resident's mental and physical stability; (b) The medication to be administered; (c) The timeframe during which the medication is to be administered; and (d) The route or method by which the medication is to be administered. (2) The ability of the certified medication aide to safely administer the medication being administered

e resident and the medication needs of the resident, including: (a) The resident's mental and physical stability; (b) The medication to be administered; (c) The timeframe during which the medication is to be administered; and (d) The route or method by which the medication is to be administered. (2) The ability of the certified medication aide to safely administer the medication being administered. (E) When supervising the task of medication administration to a certified medication aide, the nurse shall communicate the following: (1) The residents to whom the certified medication aide shall administer medications; (2) The medications the certified medication aide shall administer; (3) The timeframes during which the medications are to be administered; and (4) Any special instructions concerning the administration of medications to specific residents. (F) In a nursing home or residential care facility that utilizes certified medication aides, a nurse remains responsible for all of the following: (1) Reviewing the medication delivery process to assure there have been no errors in stocking or preparing the medications; (2) Accepting, transcribing, and reviewing resident medication orders; (3) Monitoring residents to whom medications are administered for side effects or changes in health status; and (4) Reviewing documentation completed by a certified medication aide, including the medication administration record. (G) A nurse shall supervise the certified medication aides as follows: (1) In a nursing home, a nurse shall provide on-site supervision of a certified medication aide. (2) In a residential care facility, supervision of a certified medication aide shall be provided by a nurse who is either on-site or is immediately and continuously available through some form of telecommunication. Last updated September 16, 2025 at 3:19 PM Supplemental Information Authorized By: 4723.69 Amplifies: 4723.63 , 4723.69 10/14/2026