Job Title: Trained Medication Aide (TMA)
Department: Nursing
Reports to: Director of Clinical Services
Next Review Date: 03/2015

Job Description Details
Statement of Position/Position Summary
This position administers medications and treatments under the direct supervision of an RN. In addition, this position will provide personal care service to the terminally ill patient and perform related tasks in the location where patient lives and in accordance with the plan of care assigned by the primary nurse.
Qualifications and Education requirements
  • High school diploma or GED.
  • Successful completion of a state approved nursing assistant training program and a state approved trained medication aide program.
  • Current, active certification on the Minnesota Nursing Assistant Registry and current certification in medication administration.
  • Must be able to work independently and have strong written and verbal communication skills.
  • Computer proficiency and a working knowledge of Microsoft programs required.
  • Current CPR certification.
  • Belief in the hospice concept.
Position Role and Responsibilities
  • Administer prescribed medication to patients and maintain related medical records under the supervision of the RN.
  • Verify identity of patient receiving medication and record name of drug, dosage, route, and time of administration on specified forms of records.
  • Presents medication to patient and observes ingestion or other application, or administers medication, using specified procedures.
  • Take vital signs or observes patients to detect respond to specified types of medication and prepares report or notifies designed personnel of unexpected reactions.
  • Document reasons prescribed drugs are not administered.
  • Adhere to medication administration policy.
  • Administer medications via the following routes: oral, topical, eye, ear and nose, rectal, transdermal, sublingual and buccal.
  • May receive supply of ordered medications and apportion, mix, or assemble drugs for administration to patient.
  • May record and restock medication inventory.
  • Complete annual TMA competency testing; competency administered by RN. Testing includes observation and verbal testing scenarios.
  • Provide personal care to the patient in a compassionate and understanding manner consistent with the hospice philosophy.
  • Under the direction of the RN, the TMA may perform the following duties:
  • Provide bed bath, shower or tub bath as appropriate
  • Provide appropriate care of skin, hair, nails, mouth and feet
  • Provide good body alignment, positioning, and range of motion exercises for non-ambulatory patients
  • Assist patient in and out of bed and with ambulation
  • Assist patient with use of bedpan, urinal, commode and bathroom
  • Assist with feeding and dressing patients
  • Monitor and record temperature, pulse, respirations and blood pressure, as directed by the RN. Significant changes in the patient’s condition will be reported to the RN immediately.
  • Change simple dressings and ostomy bags
  • Assist with catheter cares
  • Remind and assist patient in taking pre-measured medications
  • Maintain an accurate and complete record of care provided and document observations appropriately
  • Perform various housekeeping duties related to patient care
  • Responsible for maintenance of electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards.
  • Identify and address comfort care needs.
  • Support, instruct and educate the patient, family, and caregiver.
  • Maintain the dignity of the dying patient.
  • Support the patients and family's unique spiritual and cultural beliefs.
  • Provide holistic, family-centered care across treatment settings to improve the quality of life.
  • Consult and collaborate with the interdisciplinary team and others involved in the patients care.
  • Provide care consistent with National Hospice and Palliative Care Organization standards of practice for hospice programs.
Agency Expectations
  • Adhere to all Seasons Hospice policies and procedures.
  • Maintain absolute confidentiality of all information pertaining to patients, families, and staff and adhere to all HIPAA rules.
  • Display a positive and professional image and attitude in all relationships with patients, families, peers and in the community.
  • Serve as an ambassador for Seasons Hospice at all times.
  • Provide verbal and written performance evaluations for assigned staff members, including peer and self evaluation.
  • Demonstrate ongoing responsibility for self education.
  • Assume responsibility for the promotion of the hospice concept in the community and with other agencies and professionals.
  • Participate in the Quality Assessment Performance Improvement Program (QAPI), as requested.
  • Maintains patient and personal safety regarding occupational health and safety.
  • Participate in safety program, as requested:
  • Participate in employee job safety analysis to eliminate hazards and prevent accidents.
  • Cooperate to investigate employee injuries.
  • Promote and support safety awareness and implement safety operations.
  • Encourage staff to make suggestions on safety practices.
  • Participate in orientation of new employees.
  • Participate in volunteer orientations, training and education as requested.
  • Participate in orientation and supervision for students seeking experience in hospice care.
  • Attend regularly scheduled department meetings and agency meetings.
  • Perform other related duties as assigned.
ADA Requirements (essential functions)
Physical Requirements
Lifting More than 25 lbs routinely, 50+ lbs occasionally
Transfer 150 lb. or greater patient weight
Sitting 1 - 3 hours/day
Standing 4 - 5 hours/day
Walking 2 - 4 hours/day
Bend, stoop, squat, and/or twist Repeatedly throughout day
Reaching 0.5 hour/day – arms ­ shoulder level
Use of telephone 2 - 3 hours/day
Working under pressure 3 – 4 hours/day
Working rapidly for long periods 2 - 3 hours/day
Use of keyboard/computer, printer, fax, copier 4 – 5 hours/day
Position requires close work; finger dexterity; good vision, hearing, and oral communication.
May occasionally work longer than 8 hours/day.
Cognitive or Mental Requirements
The following cognitive or mental requirements are necessary on a daily basis:
  • Critical thinking
  • Reading
  • Writing
  • Mathematics
  • Drawing conclusions from written or computer generated materials
  • Analyzing data or report information
  • Creating methodologies for accomplishing a goal
  • Conducting research
  • Implementing recommendations by coordinating persons and/or other resources
  • Developing plans, procedures, goals, strategies, or processes
  • Directing activities of others to accomplish a goal
  • Clear verbal articulation
Working Environment

    Indoors, at a patient’s bedside or at a desk

    Possible exposure to communicable diseases

    Skin contact with solvents or other chemicals such as alcohol, acetone, detergents, bleach, and latex gloves

    Exposure to medical equipment with the risk of lacerations or punctures

Additional Notes
This job description is only a summary and is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required by the employee. This document is subject to change at any time.
Created by: Michelle Donahue – Director of Human Resources Date: December 2014
Approved by: Beverly Haynes – Executive Director Date: December 2014