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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.