Indiana Code Title 16. Health § 16-27.5-4-10

(1) Observing and reporting to the health care facility's licensed nurse a patient's exhibited reactions or side effects to medications.

(2) Measuring and documenting vital signs before the administration of medications that could impact vital signs, and reporting to the health care facility's licensed nurse a patient's abnormalities that may prohibit medication administration.

(3) Administering and documenting regularly prescribed medications for which the qualified medication aide has received training to administer after personally preparing and administering the medication.

(4) Initiating oxygen per nasal cannula or nonsealing mask only if the following are met:

(5) Obtaining oxygen saturation using an oximeter that has been calibrated by another health care provider within that provider's scope of practice and reporting the result to the health care facility's licensed nurse.

(6) Applying physician or other authorized health care provider ordered oral, ophthalmic, otic, nasal, vaginal, and rectal medications.

(7) Crushing and administering medications in accordance with the drug manufacturer's instructions, physician's orders, or other authorized health care provider's orders.

(8) Altering capsules if a physician or other authorized health care provider has prescribed the medication to be altered in that manner.

(9) Counting, administering, and documenting controlled substances.

(10) Administering medications through a gastrostomy tube (G-tube) and a jejunostomy tube (J-tube).

(11) Administering previously ordered pro re nata medication when authorization is obtained from the health care facility's licensed nurse.

(12) Applying topical medication to minor skin conditions.

(13) Administering medication through a metered dose inhaler.

(14) Conducting hemoccult testing and reporting results to the health care facility's licensed nurse.

(15) Conducting finger stick blood glucose testing and reporting the result to the health care facility's licensed nurse.

(16) Applying a dressing to a minor skin tear that has been assessed by the health care facility's licensed nurse.

(17) Providing ordered site care and applying a dressing to a healed gastrostomy tube (G-tube) and a jejunostomy tube (J-tube) site.

(18) Emptying and changing a colostomy bag.

(19) Instilling a commercially prepared disposable enema after the patient has been assessed by the health care facility's licensed nurse and the licensed nurse has instructed the qualified medication aide to instill the enema.

(20) Applying a cold, dry compress as directed by a physician, other authorized health care provider, or the health care facility's licensed nurse in an emergency situation that requires first aid treatment.

(21) Collecting fecal or urine specimens, as ordered by a physician or other authorized health care provider.

(22) Documenting observations and issues in the medical record that are reported to the qualified medication aide by the patient.

(1) Administering medications by the injection route, including the following routes:

(2) Administering medications used for intermittent positive pressure breathing treatments or any form of medication inhalation treatments.  This subdivision does not include a prohibition on metered dose inhalers.

(3) Administering medications through a nasogastric tube.

(4) Except as provided in subsection (a)(19), instilling irrigation fluids of any type.

(5) Assuming responsibility for receiving in writing or receiving a verbal telephone order.

(6) Administering a treatment that involves advanced skin conditions, including stages II through IV decubitus ulcers.

(1) Document any symptoms indicating the need for the medication and the time the symptoms occurred in the patient's medical record.

(2) Document that protocol was followed by notifying the health care facility's licensed nurse describing the symptoms and that authorization was obtained to administer the medication and the time of contact.

(3) Obtain permission to administer the medication each time the symptoms occur in the patient.

(4) Ensure that the patient's medical record is cosigned by the health care facility's licensed nurse who granted authorization by the end of the shift or if the licensed nurse was on call, by the end of the licensed nurse's next tour of duty.