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. Once a UMA is registered the UMA may only administer medications under the delegated authority and supervision of a licensed nurse, pursuant to ARSD 20:48:04.01.      

  • Registration Verification 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.


Medication Aide Training Program (MATP) Requirements and Applications for Approval

MATPs are taught by licensed RNs with a minimum of 2 years experience. RNs are required to follow an approved curriculum as listed below. Programs must be a minimum of 20-hours in length (16 hours coursework and 4 hours of clinical/lab experiences). Curriculum or faculty changes must be approved by the SDBON. All MATPs expire April 30 of even-numbered years; see below instructions for reapproval.

Application and Approval Process

1.  Complete the appropriate application:

***Medication Aide Training Programs are due for reapproval April 30, 2020. Please email for instructions.

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, and send the completed form to the Board of Nursing office.

3.  Use the following required forms:

  • 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.
  • A Certificate of Completion template will be provided to the RN instructor upon Board approval of the MATP.  The RN should provide a completion certificate to successful UMA students.

4.  Addiitional resources may be used if desired.  Optional teaching materials:


For questions on training requirements or approval of MATPs contact Tessa Stob


Initial UMA Registration and Exam

An individual wanting to become registered must have a minimum of a high school education and complete a 20-hour SD Board of Nursing approved MATP.

* RNs and LPNs with active licenses do not need to be listed on the UMA registry.  

* 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.  They must complete a SDBON approved medication aide training program.

Application Process and Forms

Detailed, step by step instructions for the UMA Registration Process can be found here.

Applicant's must:

  1. Submit the online application:  UMA Initial Registration Application.
    • A proctor must be identified on the application: Procotor Information
    • Allow up to 5-7 business days for processing.  Keep in mind it will take longer if innaccurate or incomplete information is provided on the application or the requirements are not met.
  2. Request the RN instructor who completed the 4-hour clinical/lab training to submit the RN Attestation Form.
    • Applicants will NOT be made eligible to test until their application and RN Attestation Form are processed by the Board.
  3. After review and appoval of application materials, the UMA applicant must take and pass the South Dakota Board of Nursing's online UMA exam under supervision of the proctor identified on the submitted online application.  The proctor will:
    • Receive an email advising them of exam eligibility.    
    • Need to LOGIN to the Proctor Portal with their username and password provided. 
    • Need to click "Agree" to proctor the applicant's exam.  The applicant will then receive an email stating that the proctor accepted and agrees to serve as a proctor.
    • Following receipt of the online access information, the proctor can administer the exam to the UMA applicant according to the proctor agreement guidelines. 
  4. After the UMA applicant takes and submits the exam, the applicant will receive immediate notification of a pass or fail.
  5. After successfully passing the exam, the applicant will be listed on the UMA Registry.
  6. Registry status may be verified on the Board's Registration Verification site.  Registration cards may be printed from this site; the BON does not print or mail cards. 
  7. UMA registration is valid for 2 years after issue.

If you are an applicant who failed the UMA exam

Applicants must:

  1. Review all learning materials with an RN before retaking the exam.
  2. Submit the online UMA Re-Take Exam Application
    • The RN does not need to resubmit the RN Attestation Form. 
  3. If the applicant fails the exam a second time, the 20-hour course must be repeated.

If you are a nursing student or RN/LPN who does not hold an active license  

You may be eligible to waive the 16-hour classroom portion of the MATP course.  Nursing students must have successfully completed a pharmacology course and/or fundamentals in nursing course that included theory, lab, and clinical content in the area of medication administration.  Applicants must:

  1. Complete the 4-hour clinical/lab training with an RN and pass the competency skills on the Board's competency checklist
  2. Submit the UMA Waiver Application to the Board office.
  3. After Board of Nursing review, the applicant's identified proctor will receive an email advising exam eligibility.   

If you are an individual currently registered as a medication aide in another state 

You may be eligible to waive the 16-hour classroom portion of the MATP course.  Individuals must have completed equivalent training of at least 20 hours in length and be currently registered as a medication aide in another state.  Applicants must:

  1. Complete the 4-hour clinical/lab training with an RN and pass the competency skills on the Board's competency checklist.
  2. Submit the UMA Endorsement Application to the Board office.
  3. After Board of Nursing review, the applicant's identified proctor will receive an email advising exam eligibility.  

Exam information

  • UMA Exam Content Outline
  • 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.

For questions on the exam process or registration contact Ashley Vis

Proctor Information

An exam proctor, often the RN trainer, must be identified on the UMA's application before an applicant will be approved to take the UMA exam.  UMA applicant's may only use proctors who are approved by the Board and who are listed on the Board's Approved Proctor list.  

  • To become a Proctor complete the Proctor Agreement Form and submit to the Board of Nursing.  
    • All proctors must agree to follow and adhere to proctoring guidelines while administering the exam.  The guidelines are listed on the Proctor Agreement Form or can be found here.
  • To find a Proctor, see: Approved Proctors for UAP Testing

For questions on proctors contact Ashley Vis

Renewal of UMA Registration

To be eligible for renewal, an applicant must:

  • Be 90 days or less prior to expiration.
  • Be able to demonstrate a minimum of 12 hours of employment as a UMA within the last 2 years, as required in 20:48:16:03.
  • Complete the UMA Online Renewal Application.
  • After the Board processes and approves your renewal application, no card will be mailed to you.  You or your employer may verfiy your registry status or print your registration card from the Board's Registration Verification Page.

 *If your registration has lapsed or if you cannot verify 12 hours of employment, you cannot renew online. Follow the steps under the Lapsed Registration.   

Lapsed Registration - Process for Reinstating to Active Status 

If a UMA lets their registration lapse, or expire, it is no longer active and a nurse may no longer delegate medication administration to the individual.    


A UMA who has lapsed may reinstate to an active status by verifing a minimum of 12 hours of employment as a UMA within the last 2 years as required in 20:48:16:03.  The applicant must: 

  1. Print and complete the UMA Renewal Application.
  2. Have current/previous employer complete the employment verification section on page 2 of the application.
  3. Submit completed application to the South Dakota Board of Nursing for processing and approval.

 If the lapsed UMA has not worked a minimum of 12 hours as a UMA within the last 2 years the individual must:

  1. Enroll in an approved Medication Aide Training Program (MATP).
  2. Complete the MATP (16 hours coursework + 4 hours clinical/lab).
  3. Successfully pass the South Dakota Board of Nursing UMA Exam.

Name / Contact Information Changes

Laws Related to Unlicensed Medication Aides