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Instructions for Completing the Medication Administration ...

Instructions for Completing the Medication Administration Skills Validation Form (Former name: Medication Administration Clinical Skills Checklist) Developed by the Division of Health Service Regulation, Adult Care Licensure Section 2708 Mail Service Center, Raleigh, NC 27699-2708 (919) 855-3765 DHSR/AC 4605 (Rev. 01/14;09/20;05/21) NCDHHS 1 of 6 TO ALL ADMINISTRATORS and NURSES and PHARMACISTS: Requirements of North Carolina . and 10A NCAC 13F/G .0503 include a ll unlicensed staff who perform Medication aide duties and supervisors of staff performing Medication aide duties in adult care homes must have validation of the staff s competency for tasks or skills that will be performed in the facility prior to the unlicensed staff performing any Medication aide duties.

DHSR/AC 4605 (Rev. 01/14;09/20;05/21) NCDHHS 2 of 6 . Instructions for Completing the . Medication Administration Skills Validation Form . Directions for completing the Medication Administration Skills Validation Form:

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