Get Medication Assistant Training Program Application For ... - Ndhealth

Filling out the Medication Assistant Training Program Application is a crucial step for facilities seeking to obtain approval for their training programs. This guide offers a clear, step-by-step process to assist users in completing the application accurately and efficiently.

Follow the steps to fill out your application correctly.

1. Click the ‘Get Form’ button to obtain the form and open it in your document editor.
2. Mark the appropriate box for your application type, indicating whether this is an initial application or a renewal application.
3. In the section labeled 'Type of program,' check all applicable boxes, selecting either Medication Assistant I or Medication Assistant II.
4. Provide the name, address, and qualifications of the program coordinator, and specify if this person will act as an instructor in the program.
5. Fill in the name and address of the facility or entity seeking approval for the MA training program.
6. If the theory portion is offered at a different facility, specify its name and address in the corresponding section.
7. List all clinical locations where students will receive supervised clinical experience.
8. Indicate the address of the laboratory location(s) required for the program.
9. Document information for all instructors, including their name, contact details, qualifications, and nursing license number.
10. Input the planned date for the program's implementation, noting that this step is not applicable for renewal applications.
11. Identify the teaching and audiovisual equipment available for medication administration simulation and instruction.
12. For the clinical experience section, detail the maximum number of students per facility and the instructor-to-student ratio.
13. Attach required documents, including course objectives, curriculum, clinical skills checklists, unit tests, final tests, and suggested timelines.
14. Complete the sections that require outlining the number of theory/classroom hours, clinical hours, and laboratory hours.
15. Describe the process used for conducting student testing to ensure competency in both clinical and theory skills.
16. If submitting a renewal application, detail any changes in the Medication Assistant training program since the last review.
17. Explain the feedback mechanisms used to assess if the course has adequately prepared students to administer medications.
18. Finally, certify that the information provided is true and accurate by signing and dating the application.

Complete your application online today for timely approval.