Kim Malsam-Rysdon, Secretary of Health

South Dakota Board of Nursing

Unlicensed Medication Aide (UMA)


A registered nurse (RN) and licensed practical nurse (LPN) may only delegate medication administration to a trained and competent Medication Aide listed on the South Dakota Board of Nursing (BON) Medication Aide Registry. 


Medication Administration Training Program Requirements

UMA Initial Registration

Registration Verification

Name/Contact Information Changes

Registration Renewal

FAQs on Medication Aide Training and Testing

Medication Administration Training Program Requirements

Unlicensed medication aide personnel are required to complete a 20-hour South Dakota Board of Nursing (SDBON) approved Medication Administration Training Program (MATP), taught by a licensed RN with a minimum of 2 years experience, pass the SDBON online Medication Aide exam, and be registered by the SDBON as a UMA.  Nursing students and individuals that hold current registration as a med aide in another state may request to waive a portion of the training.

Approval is granted for a 2-year period. Requests for faculty or curriculum changes must be pre-approved by the SDBON.  The initial approval process and other application forms are provided below.

List of Approved Medication Training Programs  

Medication Aide Training Program Approval Process and Forms:

1.  Complete the appropriate Medication Administration Training Program Application:


2.  Select an approved curriculum from the list below; complete the Curriculum Content Application Form, listing the name of the RN Instructor in Column 4; send the completed form to the Board of Nursing office.

3.  Use the following required forms:

    • South Dakota Specific Requirements
    • Enrolled Student Log Forms (see curriculums in item 2 above)
    • Clinical Skills Checklist (The checklist should be maintained by the employer and does not need to be submitted to the BON. In addition, agency specific checklists may also be used.)
      • Certificate of Completion (this will be emailed to you upon program approval)

4.  Use optional teaching materials as desired:


For questions on training requirements or approval of MATPs contact Linda Young  

UMA Registration

Licensed nurses may only delegate medication administration to individuals listed on the South Dakota Board of Nursing Unlicensed Medication Aide registry.  Medication aides coming from another state must also be registered.

Registry status implies only that an unlicensed individual has met the minimal training and testing requirements necessary to accept delegated tasks by a licensed nurse while under a nurse's supervision.  Registry status does not imply that an individual has met moral, ethical, or legal standards.  The Registry should not take the place of an employer's hiring screening process or background check.

After successful completion of the full 20-hour (16 hours coursework + 4 hours lab) approved Medication Aide Training Program*:

*Nursing students or individuals registered as a med aide in another state may apply to waive 16 hours of  the training, application below.

*Individuals who have taken medication aide training through the Division of Developmental Disabilities/Human Services are not eligible to be placed onto the SD Board of Nursing Medication Aide registry and must complete a SDBON approved medication aide training program. 


1.  Submit completed Initial Medication Aide Registration Application to the South Dakota BON. Allow up to 5-7 business days for the SDBON to process your application.

  • Nursing Students: May waive the 16-hour classroom portion of the MATP course, if the nursing student has successfully completed a pharmacology course and/or fundamentals in nursing course that included theory, lab, and clinical content in the area of medication administration. The student must still complete the 4-hour clinical/lab portion of the training with an RN to verify that the student is capable of performing all skills listed on the BON’s approved skills competency checklist safely and competently.  Once the 4-hour lab portion of the required training is complete, the student must complete the Nursing Student Application and pass the board’s UMA exam.

  • Endorsement: Individuals who have completed an equivalent MATP of at least 20 hours in length and who are currently registered as a medication aide on another state's medication aide registry may apply for endorsement and waiver of the 16-hour course content portion of the 20-hour MATP.  The applicant must still complete the 4-hour clinical/lab portion of the required training with an RN to verify that the individual is capable of performing all skills listed on the SDBON approved skills competency checklist safely and competently.  Once the 4-hour lab portion of the required training is complete, the individual must complete the UMA Endorsement Application and pass the board's UMA exam.

2.  Each applicant must take the South Dakota BON UMA Exam.  To take the exam, a test proctor must be identified (often the RN trainer) who has on file with the BON an approved Proctor Agreement Form.  To become a Proctor, or to determine whether you are currently approved as a Proctor, see Currently Approved Proctors.  The Proctor must adhere to the guidelines set forth within the Proctor Agreement while administering the exam. 

3.  Once the UMA application has been received with the Board-approved Proctor identified, the Proctor will receive an email from the BON with test access information.  


4.  Following receipt of the online access information, the Proctor may administer the exam to the UMA applicant according to the proctor agreement guidelines. 


5.  The results of the exam are sent by email to the UMA applicant.  (An applicant who fails may retake the exam one time.)


6.  After successfully completing the exam, the applicant will be listed on the UMA Registry (allow 5-7 business days for processing). 


7.  The RN may now choose to delegate medication administration to the UMA.

If the applicant fails the exam, the applicant should review all learning materials with an RN, particularly in those categories with lower scores (the applicant receives an email that includes the category results).  Following review, the applicant may submit a UMA Exam Re-Take Application to request to re-take the exam.  Applicants are encouraged to do so within 5 days if possible.

Exam information:

  • The applicant is allowed two hours to take the exam. The exam consists of 65 multiple choice questions.
  • Once the exam is started, the applicant cannot save and finish at a later time.
  • The applicant is not allowed to use books, notes, reference aids, cell phones, or open computer files or browsers while taking the exam.
  • The exam may not be printed, copied, videotaped, or photographed.

UMA Exam Content Outline

To help prepare students to take the exam, instructors should ensure:

  • That teaching materials reflect content outline;
  • That students do not use their own computer, PC, or phone device to take the exam;
  • A quiet testing environment, without interruption.


For questions on the exam process or registration contact Ashley Kroger

Registration Verification

The UMA, RN, and employer can verify registration status at  Registration cards may also be printed from this site; the BON does not print or mail registration cards.  UMA Registration is valid for 2 years after issue.

Name / Contact Information Changes

Contact Information Online Update

Email Name Change

Registration Renewal

Medication Aide Registration will remain active for two years after the date of issue.  The UMA should keep contact information updated on the Registry as a courtesy renewal notice will be sent 90 days prior to the registration's expiration date.  Renewal application process will be posted here in 2017.