Level I Medication Aide (LIMA)
CNA, CMT and Insulin Registry
LIMA Challenge
The Level I Medication Aide (LIMA) training program prepares individuals
for employment as a LIMA in residential care facilities (RCFs)
and assisted living facilities (ALFs).
The program is designed to teach skills in medication administration
of nonparenteral medications in order to qualify students to perform
this procedure only in RCFs and ALFs in Missouri.
The curriculum content is a minimum of 16 hours which includes
procedures and instructions in
the following areas: basic human needs and relationships; drug
classifications and their implications; assessing drug reactions;
techniques of drug administration; medication storage and control;
drug reference resources; and infection control.
A student shall not administer medications without the instructor
present until he or she successfully completes the course and obtains
a certificate.
LIMA Challenge
State regulation 19 CSR 30-84.030 (8) (B) allows for individuals,
who meet one or more of the following state regulation requirements,
to challenge the Level I Medication Course after submitting the
required documentation.
The following individuals may qualify as Level I Medication Aides
by successfully challenging the final examination:
- Individuals either enrolled in or who have been
enrolled in a professional nursing school or in a practical nursing
program who have completed the medication administration or pharmacology
course and who have letters of endorsement from the directors
of their respective programs.
Those individuals meeting the above requirement must submit a
written request to the DHSS to this address. Each
request must include a clear copy of the individual's social security
card, return address, daytime telephone number, letter of endorsement,
and a copy of their transcript.
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