Who may delegate medication administration to a certified medication technician?

• A. RNCM/DN
• B. RN
• C. LPN
• D. Pharmacist

Answer: (A)

Delegation of medication administration to a certified medication technician comes from a licensed nurse who has supervisory responsibility for nursing care. In many facility policies, a Registered Nurse in a leadership role—such as a Registered Nurse Case Manager or Director of Nursing—has the authority to authorize and supervise this delegation. They ensure the technician is properly trained, competent, and supervised, and they remain accountable for the overall medication process. Pharmacists handle dispensing and counseling but do not delegate floor medication administration. LPNs typically operate under RN supervision and do not independently delegate to CMTs in most settings. Always follow your state laws and facility policy, but the leadership-level RN role is the one that formalizes and oversees this delegation.