Medication Aide

Medication Aide

The Medication Administration course is 144 hours that provides instruction in preparation administration of designated medications by non-licensed nursing personnel employed in licensed health care agencies. It also teaches the responsibilities associated with such administration.

Q: What is a medication aide?
A: A person permitted by DADS to administer medications to residents in: nursing facilities, intermediate care and community-based facilities for people who are mentally retarded, correctional institutions, and assisted living (personal care) facilities.

Q: What are the requirements to be a medication aide in Texas?
A: To be a medication aide in a licensed Texas facility, you must: read, write, speak, and understand English;

be at least 18 years old; be free of communicable diseases, and in suitable physical and emotional health to safely administer medications; be a high school graduate or have a GED; work in a facility as a certified nurse aide or unlicensed direct care staff person on the first official day of your medication aide training program; and have been employed in a facility for 90 days as an unlicensed direct care staff person.

Your employment must have been completed within the 12-month period preceding the first official day of your medication aide training program. An applicant who worked as a nurse aide in a Medicare skilled nursing facility or a Medicaid nursing facility is exempt from the 90-day requirement.

Q: How do I become a medication aide?
A: First, you must successfully complete the medication aide training program, which includes: At least 100 hours of classroom instruction and training; 20 hours of returned skills demonstration laboratory; and 10 hours of clinical experience, including clinical observation and skills demonstration under the direct supervision of a licensed nurse in a facility, and 10 more hours in a return skills demonstration laboratory.

You must also take the medication aide examination, which consists of 100 multiple-choice questions that cover your knowledge of accurate and safe drug therapy. It is the policy of Northeast Texas Community College not to discriminate on the basis of gender, race, color, national origin, disability or age in its educational programs, activities, or employment policies.

Q: How many times can I take the test?
A: Applicants who fail the exam may retake it once; there's no charge for the second test. A request to retake the test must be submitted in writing to DADS, and the second exam must be completed within 45 days from the date of the failure notification.

If you fail the second exam, a third is only allowed if you enroll in and successfully complete another training program.

Q: What costs are associated with receiving a Medication Aide Permit?
A: The fee schedule is as follows:

  • First Renewal Fee — $15, no CE hours required
  • Late Renewal (less than 90 Days) — $22.50
  • Late Renewal (91-365 Days) — $30
  • Late Renewal (more than one year) — Must retrain and retest Second Renewal and thereafter — $15 after seven CE hours completed Late Renewal (less than 90 Days) — $22.50 Late Renewal (91-365 Days) — $30 Late Renewal (more than 1 year) — Must retrain and retest


A renewal notice will be mailed to your last reported mailing address. After your first renewal period, a renewal notice will not be sent to you until you have completed the required seven CE hours. To avoid incurring late fees, you must complete your continuing education hours and return the completed renewal notice along with the applicable fees before your permit expires, allowing time for mail processing.

Q: Can a person work as a medication aide if they have a criminal conviction?
A: Certain convictions bar employment in facilities and agencies regulated by DADS. A list of these offenses can be found at Texas Health and Safety Code, Chapter 250.006.



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This page last updated by S. Williams on 04/19/2013

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