Get Medication Assistant Training Program Application For Approval North Dakota Department Of Health

Filling out the Medication Assistant Training Program Application for Approval online is a crucial step for entities seeking to provide medication assistant training in North Dakota. This guide will help you navigate each section of the application form effectively.

Follow the steps to complete the application form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by indicating whether this is an initial application or a renewal application by marking the appropriate box.
3. Specify the type of program you are applying for by selecting all that apply: Medication Assistant I and/or Medication Assistant II.
4. Provide the name, address, and qualifications of the program coordinator, including their telephone number, email address, and license number. Indicate if this individual will serve as an instructor in the MA program.
5. Fill in the name and address of the facility or entity seeking approval for the MA training program, including their contact number.
6. If different, provide the name and address of the facility offering the theory section of the training program.
7. List all clinical locations where students will gain supervised clinical experience, ensuring to include relevant contact information.
8. Provide the name and address of laboratory locations, if applicable.
9. List all instructors, including their contact details, qualifications, and North Dakota nursing license numbers.
10. State the planned date of implementation for the program, or indicate N/A if you are submitting a renewal application.
11. Identify the teaching and audiovisual equipment available for simulating medication administration and conducting instruction.
12. Indicate the maximum number of students per facility and the instructor/student ratio for clinical experiences.
13. Attach supporting documents, including course objectives, curriculum details, clinical skills checklists, unit tests, final tests, duration of each unit, and a suggested timeline for course completion.
14. Specify the number of theory/classroom hours, clinical hours, and laboratory hours, if applicable.
15. Describe the testing process used to assess student competencies in both clinical and theory/classroom skills, including security measures for tests.
16. If applicable, provide details on any changes to the training program since the last review by the Department of Health for renewal applications.
17. Explain how you collect student feedback to evaluate the effectiveness of the course in preparing students to pass medications.
18. Ensure all information is accurate and sign the application as the program coordinator, including the date of submission.

Complete your application online and ensure your training program is approved without delays.