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In reality, the supervision may be minimal or nonexistent – the nurse will not be present when the aide administers medication.

“Delegated authority” in some cases is limited to a specific resident, but more frequently the aide may administer medication to any resident in the facility. Because a nurse is not required when a resident is able to self-administer medication, some states broadly define “assistance with self-administration” so that non-nurses can provide the necessary assistance.

Consequently, state laws in various ways allow medication to be dispensed without a nurse present.

Most medication administration in assisted living is done by “medication aides” or by facility employees with little or no medication training.

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