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(b) Corrections medication aide permit requirements. Section 95.125 of this chapter (relating to Requirements for Corrections Medication Aides) applies to a corrections medication aide or an applicant for a corrections medication aide permit. The following words and terms, when used in this Chapter, have the following meanings, unless the context clearly indicates otherwise.

(1) Abuse – The willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. (3) Correctional facility – a facility operated by or under contract with the Texas Department of Criminal Justice.

Whether a medication has been previously administered must be determined by the resident's current clinical records; (5) calculate a resident's medication doses for administration, except that the permit holder may: (A) measure a prescribed amount of a liquid medication to be administered; and (B) break a tablet for administration to a resident, provided the licensed nurse on duty or on call has calculated the dosage.

The resident's medication card or its equivalent must accurately document how the tablet must be altered prior to administration; (6) crush medication, unless authorization is obtained from the licensed nurse on duty or on call.

(2) A student described in paragraph (1)(B), (D), or (E) of this subsection may administer medication only as part of the student's clinical experience (3) A person described in paragraph (1) of this subsection must act under the supervision of an individual as set forth in applicable law and rules.

(a) A permit holder under Health and Safety Code, Chapter 242, Subchapter N, may: (1) observe and report to the facility's charge licensed nurse reactions and side effects to medication shown by a resident; (2) take and record vital signs prior to the administration of medication which could affect or change the vital signs; (3) administer regularly prescribed medication which the permit holder has been trained to administer only after personally preparing (setting up) the medication to be administered.

If authorization is obtained, permit holders must: (A) document, in the resident's records, symptoms indicating the need for the medication and the time the symptoms occurred; (B) document in the resident's records that the facility's licensed nurse was contacted, symptoms were described, and permission was granted to administer the medication, including the time of contact; (C) obtain permission to administer the medication each time the symptoms occur in the resident; and (D) ensure that the resident's record is co-signed by the licensed nurse who gave permission by the end of the nurse's shift, or if the nurse was on call, by the end of the nurse's next tour of duty; (4) administer the initial dose of a medication that has not been previously administered to a resident.

An optometrist may refuse to release a prescription for one or more of the following reasons, but must tell the patient and document the reason in the patient’s file: The Texas Optometry Act and a FTC Rule require the optometrist to give the patient the prescription following an eye examination.

The Texas Optometry Act does not require an optometrist to give a patient the prescription if the examination fee has not been paid.

The medication aide must document the administered medication in the resident's clinical record; (4) administer oxygen per nasal canula or a non-sealing mask only in an emergency.

Immediately after the emergency, the permit holder must verbally notify the licensed nurse on duty or on call and appropriately document the action and notification; and (5) apply specifically ordered ophthalmic, otic, nasal, vaginal, and rectal medication.