ACMA Glucose Monitoring & Insulin Administration Program Clock Hour Distribution

ACMA Glucose Monitoring & Insulin Administration Program Schedule Options:

Admission Requirements:

1. Fill out an Application either online or in person.
2. Complete the Enrollment Agreement in person or electronically.
3. Minimum age: 18 Years.
4. High School Diploma, GED, or another Equivalency, or higher.
5. Current CNA Oklahoma Certification with no abuse notations.
6. Current CMA Certification in Oklahoma or enrolled and attending a CMA program.
7. Experience working as a Certified Nurse Aide for six (6) months.
8. Physical and mental capability to safely perform duties.
9. Current photo ID issued by the government e.g. State Identification card or Driver’s License, Passport Card, Passport, Military ID, Greencard, Work Authorization Card).
10. Social Security Card or replacement letter from the Social Security Administration’s office.

ACMA Diabetes & Insulin  Program Objectives:

1. Training in the following subject areas with curriculum standards as indicated:
   • Pathophysiology of diabetes, with the successful learner able to:
     • Define diabetes as a chronic metabolic disorder in which the body is unable to metabolize glucose
     • Describe the action of Insulin in the
     • Explain the differences between the types of diabetes.
   • Diabetes disease management, with the successful learner able to:
     • Describe the relationship between Insulin, diet, and physical activity in the management of
     • Explain how diet relates to blood glucose
   • Blood glucose testing and use of Equipment, with the successful learner able to:
     • Explain the purpose of blood glucose
     • Demonstrate how to use blood glucose testing equipment,  and demonstrate accuracy with a minimum of 10 tests per type of testing glucometer used in the training program; and
     • Explain the quality control requirements  for glucose monitoring equipment, demonstrate both high and low controls, and explain their purpose and frequency of control testing.
   • Stable and unstable diabetes, with the successful learner able to:
     • Identify appropriate blood glucose levels for persons with diabetes.
     • Define hypoglycemia and list three causes and three symptoms.
     • Define hyperglycemia and list three causes and three symptoms.
     • Define and describe the difference between stable and unstable diabetes.
   • Diabetes care by managing blood glucose levels, with the successful learner able to:
     • List three carbohydrate choices used to treat hypoglycemia.
     • Describe measures to prevent hypoglycemia.
     • Describe the relationship between blood glucose levels and indications for glucagon use.
     • Describe measures to prevent hyperglycemia; and
     • State when to contact and what to report to a licensed health care provider.
   • Charting, graphing, and record-keeping, with the successful learner able to:
     • Explain the reason for accurate documentation of all aspects of diabetes management and care, including blood glucose results,
     • Quality control testing, medication administration, and adverse reactions.
     • Identify correct forms for documentation.
     • Demonstrate the ability to accurately document diabetes management and care.
   • Diabetic medications and adverse reactions (Insulin), with the successful learner able to:
     • Describe the purpose of Insulin.
     • State the types of Insulin and each onset, peak and duration of action.
     • Explain the difference between basal and bolus insulin; and
     • State common side effects, adverse reactions, and precautions for insulins.
   • Diabetic medications and adverse reactions (Oral agents), with the successful learner able to:
     • Describe the purpose, action, and recommended doses of each oral agent; and
     • State common side effects, adverse reactions, and precautions for each oral agent.
   • Administration of diabetic medications, with the successful learner able to:
     • State the correct administration times for Insulin and oral agents relevant to meals and mechanisms of action.
     • Identify the preferred sites for an insulin injection and describe site rotation patterns.
     • Discuss the proper storage of Insulin.
     • Demonstrate in a minimum of ten tests the accurate measurement and correct technique for preparation of a single and a mixed dose of Insulin.
     • Explain why it is required to check insulin type and dose drawn with another certified medication aide or licensed health care provider.
     • Demonstrate administration of a dose of Insulin (or saline) to self or another person.
   • Infection control and universal precautions for blood borne pathogens, with the successful learner able to:
     • Define the term “UNIVERSAL PRECAUTIONS”
     • Demonstrate safe handling of syringes, needles, pen devices, glucometer equipment and test strips, lancing devices, and lancets; and
     • Explain proper disposal of used syringes, needles, test strips, and lancets.
2. Return demonstrations of skill with a proficiency of 100% and didactic testing measuring curriculum knowledge at 90% or greater. 

ACMA State Competency Examination Information:

MedNoc Training College is a Test Site for Examcep Testing & Assessment. MedNoc Training College uses Examcep Testing & Assessment to administer the ACMA Diabetes & Insulin Knowledge State Competency Examination for Oklahoma certification. To register for your exam, visit Examcep Testing & Assessment at www.examcep.com. To familiarize yourself with the Examcep’s testing policies, procedures, and exam registration process, visit the Examcep’s website and read the Candidate Handbook.

Eligibility For ACMA State Competency Examination:

To be eligible for the ACMA Knowledge Competency Examination, you must meet the following:

• Completed at least 16 clock hours of Advanced Certified Medication Aide Diabetes and Administration of  Diabetic Medications from a Training Program approved by the Oklahoma State Department of Health-Nurse Aide Registry.
• Must be certified by the Oklahoma Nurse Aide Registry as a Certified Medication Aide.
• Must be certified by the Oklahoma Nurse Aide Registry as a Long-Term Care Nurse Aide.

To become an Advanced Certified Medication Aide for Diabetes and Administration of  Diabetic Medications in Oklahoma, the Candidate must pass the ACMA Diabetes and Administration of Diabetic Medications Knowledge Competency Examination. The Oklahoma Nurse Aide Registry will register the Candidate as an ACMA- Diabetes & Insulin and issue a certification after the Candidate has passed their competency exam.

Successful Completion of The ACMA Competency Examination:

• After successfully passing your competency examination, Examcep Testing & Assessment will submit the Candidate’s passing record to the Oklahoma State Department of Health- Nurse Aide Registry within three (3) days.
• The Oklahoma State Department of Health shall include in the Nurse Aide Registry a record of successful completion of the competency examination within thirty (30) days of the date the individual is found to be competent.

ACMA Diabetes & Insulin Knowledge Competency Exam:

1. A minimum score of eighty percent (80%) shall be required to pass the written competency examination for insulin administration.
2. A candidate has three attempts to take and pass the CMA State Competency Examination.
3. A candidate who fails to score at least the required minimum on three consecutive written competency examinations shall be required to retrain before retesting.

ACMA Diabetes & Insulin Competency Skills Exam:

The ACMA Diabetes & Insulin Competency Examination does not have the Skills part. However, the Candidate must attest that they successfully completed the return of demonstrations of skills with proficiency of 100%, and didactic testing measuring curriculum knowledge at 90% or greater must be completed during the ACMA Diabetes & Insulin training.

Examcep Testing & Assessment Exam Details for ACMA.

Students have THREE (3) attempts to take and pass both the Knowledge and the Skills components of the ACMA certification state exam. If the candidate fails to pass both components (Knowledge & Skills), they shall be required only to retake the exam component they failed. However, if the candidate fails after their third attempt and ends up retraining, they will be required to start testing attempts afresh by taking both the knowledge and skills exam. Failure to pass after the third attempt requires students to retake the Course and submit new payments for training costs and state exams. For each exam attempt, the Student must make a payment. For more detailed information regarding the Certified Nurse Aide (CNA) State Certification Examination, please visit Examcep

Examcep Testing & Assessment Exam Details For ACMA:

Failure To Pass The ACMA Diabetes & Insulin Competency Examination:

If the Student/Trainee does not complete the competency examination successfully, the Student/Trainee shall be notified by the testing entity of at least the following:

• The areas which the individual did not pass.
• The Student/Trainee may retake the ACMA Knowledge Examination up to three times without further training. After the third attempt, the Student must retrain to gain another three testing attempts.

Oklahoma Nurse Aide Registry Requirements:

The Certified Medication Aide must complete the following Oklahoma Nurse Aide Registry Requirements.

1. The Attestation Form must be signed and dated by the Student.
2. An Affidavit of Lawful Presence is required to be filed for all students.
3. Skills Performance Checklist showing that the Student returned demonstrations of skill with a proficiency of 100%.
4. Didactic testing measuring curriculum knowledge at 90% or greater.
5. Record of attendance.
6. Student's Grades records.
7. Training Completion Affirmation Form evidencing completion of 16 clock hours of CMA Training.
8. The Training Verification Form will be issued to the Student after successfully completing the ACMA Diabetes and Administration of Diabetic Medications Training Program.

Oklahoma Nurse Aide Registry Information For Student:

The Oklahoma Nurse Aide Registry requires students to be informed of the following:

1. The Program shall designate a Registered Nurse as the training program supervisor if a licensed practical nurse serves as an instructor.
   • The Program Director shall be a Registered Nurse with at least one year in Long-Term Care and at least two years of experience as a Registered Nurse.
   • The training program instructor shall be qualified as a physician, licensed nurse, pharmacist, respiratory therapist, speech therapist, or certified diabetes educator who may teach within her or his area of expertise or scope of practice. Each Instructor shall have one year of experience in their area of expertise.
   • Other personnel from the health professions may supplement the Instructor as required by the curriculum and approved by the Department.
2. The School shall notify the Student that if a criminal arrest check reveals a cause that bars employment in a healthcare entity, the trainee shall be withdrawn from the training program.
3. Change of Law – Starting November 1, 2015. Notice of address or telephone number change shall be made within ten (10) days of the effected change. Notice shall not be accepted over the phone.
4. The curriculum for this Course, the skills checklist form, and the schedule shall be provided to each Student.

Certification And Recertification: Section 310:677-13-8:

Once you renew the CMA, the ACMA certification also renews. ACMA certification must be renewed annually by attending and completing 8 hours of continuing education (CEU), excluding the first year of the Student becoming certified in Oklahoma as a CMA. To renew the CMA certification, you must meet the requirements for Section 310:677-13-8. Certification And Recertification:

• Effective August 1, 2006, the following, to be evidenced by the aide’s attestation, are prerequisites for certification as a medication aide:
  • Minimum age: 18.
  • Minimum education: High School or General Equivalency Diploma.
  • Current Oklahoma Nurse Aide certification with no abuse notations.
  • Experience working as a certified nurse aide for six months.
  • Physical and mental capability to safely perform duties.

• Application criteria and processing requirements for recertification are as follows:

1. The Certified Medication Aide shall submit a Recertification Application (ODH Form 717) that requires information to demonstrate compliance with 310:677-13-1(d). as indicated below:

1. 1. • Documentation of completion of at least eight (8) hours of continuing education every twelve (12) months, excluding the first year after certification as a medication aide.
      • Classroom and supervised practical training hours completed by a CMA in a Department-approved Advanced Certified Medication Aide Training Program may count towards the eight required hours of continuing education.
      • Current certification as a Long Term Care Aide, Home Health Aide, or ICF/IID care aide. CMAs may also be certified in the other two (2) categories in addition to the required certification as a Long-Term Care Aide, Home Health Aide, and ICF/IID Care Aide.
      • Current listing in the Oklahoma Nurse Aide Registry.
2. The Recertification Application (ODH Form 717) shall be accompanied by a ten-dollar ($10.00) fee.
3. Each recertification shall be effective for twelve months from the expiration date of the Medication Aide’s previous certification.
4. The Medication Aide shall be required to retest if certification has expired by more than one year. The individual may obtain approval to take a retest by filing a Certified Medication Aide Retest Application (ODH Form 842) with a fifteen-dollar ($15.00) nonrefundable fee. The aide shall retrain and test if the aide fails the retest or if the certification has expired by more than three years.
5. The Recertification Application (ODH Form 717) for a medication aide shall include documentation of continuing education equivalent to eight hours for every twelve months of certification, excluding the first year of certification.

ACMA Certification Renewal Process In Oklahoma

To renew the ACMA and or CMA certification, you must submit:

• Fill out and submit the Renewal Application ODH Form 717 to the Oklahoma Nurse Aide Registry.
• Attach proof of documentation of continuing education equivalent to eight (8) hours for every twelve months of certification, excluding the first year of certification.
• Attach a ten ($10.00) recertification (check or money order if mailing) or Cash if the application is hand-delivered to the Oklahoma Nurse Aide Registry.
• NOTE: Advanced CMA Certifications will be renewed simultaneously with your CMA renewal without additional fee or application.
• NOTE: You can either mail your Renewal Application ODH Form 717, along with proof of continuing education equivalent to eight (8) hours and a ten-dollar ($10) renewal fee in the form of a money order or check, or you can walk in and submit your application with the renewal payment.

ACMA CERTIFICATION RENEWAL PROCESS IN OKLAHOMA