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Fla. Admin. Code Ann. R. 59A-8.0219 - Medication Administration

FloridaregulationFlorida Agency for Health Care Administration (AHCA)· effective 2023-05-24

What this rule requires your agency to do

  • 1The provider must ensure a supervising or delegating nurse retains responsibility for any medication administration task delegated to a home health aide or CNA. (59A-8.0219(1))(Fla. Admin. Code Ann. R. 59A-8.0219 - Medication Administration)
  • 2The provider must ensure a registered nurse conducts an assessment of the medications for which administration is to be provided and documents the findings in the patient's records before delegating medication administration. (59A-8.0219)(Fla. Admin. Code Ann. R. 59A-8.0219 - Medication Administration)
  • 3The provider must not permit a home health aide or CNA to administer medication unless the aide has successfully completed a medication administration training course and obtained a current validation for the route. (59A-8.0219(1))(Fla. Admin. Code Ann. R. 59A-8.0219 - Medication Administration)
  • 4The provider must not allow aides or CNAs to administer medications requiring professional nursing judgment (such as pain or psychiatric medications), or via prohibited routes including most parenteral, vaginal, or tracheostomy routes. (59A-8.0219)(Fla. Admin. Code Ann. R. 59A-8.0219 - Medication Administration)
  • 5The provider must, upon a medication administration violation, prohibit the aide from providing medication services and require completion of remedial training and a corrective action plan. (59A-8.0219)(Fla. Admin. Code Ann. R. 59A-8.0219 - Medication Administration)
  • 6The provider must ensure the supervising nurse reviews the Medication Administration Record (MAR) at least every 60 days, or more frequently as needed, for patients receiving aide-administered medications. (59A-8.0219)(Fla. Admin. Code Ann. R. 59A-8.0219 - Medication Administration)

Applies to: home health / home care aides (home health aides and CNAs) medication administration under nurse delegation

Florida's Home Health Agency medication administration rule governs when unlicensed aides (home health aides and CNAs) may administer medication to patients in the home. It requires that any such task be delegated and supervised by a nurse who retains responsibility, that the aide complete a medication administration training course and route validation, that an RN assess the medications before delegation, and it prohibits aides from administering medications requiring professional judgment or certain routes.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.