(1) The medication aide I shall:

(a) practice under the general supervision of a nurse with an unencumbered Montana license;

(b) practice only in an assisted living facility as defined by 50-5-101, MCA;

(c) administer only medications that are in:

(i) a unit dose package; or

(ii) a prefilled medication holder;

(d) administer only PRN and routine medications as defined in ARM 24.159.301;

(e) administer medications only by allowable routes as defined in ARM 24.159.901, except:

(i) insulin may be subcutaneously injected from a labeled and preset or predrawn insulin delivery device; and

(f) notify the supervising nurse if:

(i) the patient has a change in medication and the medication is not available as described in (1)(c); or

(ii) the medication aide has observed a change in the patient's physical or mental condition.

(2) "General supervision" for purposes of this rule means at least quarterly onsite review by a supervising nurse of a medication aide I's medication administration skills, and the guidance of a supervising nurse to include a written plan addressing questions and situations that may arise when the supervising nurse is not available. Such a plan must include access to a health care professional.