Now enrolling

From CNA to Medication Aide.

A board-approved training program built for working caregivers. Live online cohorts (day or evening) plus in-person clinical at our partner communities. About six weeks, start to finish.

$925 68 hrs · All-inclusive
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FormatLive online + Clinical
Hours68 total
PrereqCNA / PCA / Direct Care
Clinical training in partnership with Commonwealth Senior Living
CSLCommonwealth Senior Living
ATAtria Senior Living
BRBrookdale
SRSunrise
FOFive Oaks
GSGreenspring
VGThe Virginian
ASAshland Senior Living
CPCapital Senior Living
EMEmeritus
CSLCommonwealth Senior Living
ATAtria Senior Living
BRBrookdale
SRSunrise
FOFive Oaks
GSGreenspring
VGThe Virginian
ASAshland Senior Living
CPCapital Senior Living
EMEmeritus
VBoN
VA APPROVED

Approved by the Virginia Board of Nursing

Apex Clinical Training Institute is listed on the Virginia Board of Nursing's roster of approved Medication Aide training programs under Title 18VAC90-60. Your certificate of completion includes our program approval number and is recognized by every Virginia assisted-living employer.

Program Approval No. 0030000391
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§ 01 · Instructors Who teaches you

Taught by licensed nurses.

Four credentialed nurses with combined decades of assisted-living medication experience. Real practitioners, not contractors reading a script.

Melissa Flowers, RN

Program Director

Senior Director of Health & Wellness at Five Star Senior Living since 2020, with clinical oversight across 44 communities in six states.

RN, Compact License BSN, Walden University Wound Certified Certified Dementia Practitioner

Christy Ruiter, BSN, RN

Lead Instructor

BSN, RN with 8+ years of hospital nursing across critical care, ICU, PACU, hybrid OR, and interventional radiology. Certified Medication Aide Instructor with a hands-on, confidence-building teaching style.

RN, BSN Medication Aide Instructor BSN, Western Governors

Elvira Whitaker, LPN

Clinical Instructor

Licensed Practical Nurse with 35+ years serving aging and disability communities. Former Director of Long-Term Support Services with deep expertise in regulatory compliance and dementia care.

LPN 35+ Years Nurse Aide Trainer Dementia Care Certified

Ronjeanna L. Harris, LPN

Clinical Instructor

Licensed Practical Nurse with 28+ years in healthcare, including 16 years of skilled nursing. Certified Medication Aide Instructor and CPR Instructor.

LPN 28+ Years Medication Aide Instructor CPR Instructor
§ 02 · At a glance The numbers

A complete credential, built to fit your life.

Designed to slot around the shifts you're already working. Day and evening cohorts cover the same 68 hours on different schedules.

68
Total training hours
The complete Virginia Board-approved program, exam-aligned start to finish.
40
Live online class hours
Live over Zoom, day or evening cohort.
28
Hands-on skills hours
Supervised in-person practice, one instructor per 10 students.
$925
All-inclusive
One fee. No hidden charges at any stage.
Where you'll train
In-person clinical at three Virginia locations
3
Clinical locations
Northern Virginia (Manassas) Richmond Virginia Beach

In-person clinical locations

  • Northern Virginia
  • Richmond
  • Virginia Beach
Pick your location after you enroll. 2 in-person sessions per location · capped at 10 students each
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§ 03 · Curriculum 7 units · 68 hrs

A complete, board-approved curriculum.

Based on the Virginia Board of Nursing-approved Medication Aide curriculum, with extra clinical hours. Tap any unit to see what's covered.

01 Legal & Ethical Issues 7 topics·~6 hrs +
  • Ethical vs. legal standards; scope of practice for Medication Aides in assisted-living facilities.
  • Consequences of violations: loss of registration, loss of eligibility, disciplinary action.
  • Client rights: informed consent, participation in planning, refusal of treatment, privacy, freedom from chemical or physical restraints.
  • Permitted practices: administer in DSS-licensed ALFs, insulin per prescriber order, EpiPen and Glucagon in emergencies only.
  • Prohibited acts: pouring for others, pre-pouring, label transfers, writing prescriptions, IM/IV/NG, non-insulin subcutaneous injections.
  • Mandated reporting under § 63.2-1606.A: when and how to notify Adult Protective Services.
  • Confidentiality, HIPAA awareness, and documentation standards.
02 Preparing for Safe Administration 8 topics·~10 hrs +
  • OSHA and Standard Precautions: gloves, hand hygiene, sharps disposal, biohazardous waste, PPE.
  • Cleaning, disinfecting, and infectious-waste packaging protocols.
  • Emergency response: call 911, assist client, collect medical record for HCP.
  • Communication with cognitively impaired and aphasic clients (ISP-driven).
  • Behavior management: ABC's (Antecedent, Behavior, Consequence); directing and redirecting techniques.
  • Measuring and documenting vital signs: temperature, pulse, respirations, blood pressure, pulse oximetry.
  • Military / 24-hour time conventions for documentation.
  • The Six Rights: Right Client, Right Medication, Right Dose, Right Route, Right Time, Right Documentation.
03 The Basics of Medication Administration 9 topics·~10 hrs +
  • Medication forms, routes (PO, SL, PR, topical, inhalation), measurements, and timing.
  • Medication sources (natural vs. chemical); generic vs. trade names.
  • Classification by body system, mechanism, disease, and dispensing schedule.
  • Drug schedules I through VI and the Federal Drug Control Act.
  • OTC medications: HCP order required to administer; documentation as prescription.
  • Pharmacokinetics: Absorption, Distribution, Metabolism, Excretion.
  • Factors affecting medication action: age, weight, gender, disease, genetics, diet, exercise.
  • Reference sources: Physician's Desk Reference, USP-NF, Nurses Drug Handbook, Pill Book.
  • Required forms: Prescriber's Order Form, MAR, Medication Error Report Form.
04 Administration of Prepared Instillations & Treatments 6 topics·~12 hrs +
  • Know why the client receives each medication and the delivery system (vial, blister pack, unit dose, multi-dose).
  • Order types: routine, PRN, single dose. Stat orders RMAs may NOT administer per § 22VAC40-73-680(N)(2).
  • Verification protocol: read label 3 times, verify expiration, check allergies, take vitals as indicated.
  • One-hour administration window per § 22VAC40-73-680(C): not earlier than 1 hour before, not later than 1 hour after dosing time.
  • Hands-on practice with every permitted route: oral, ophthalmic, otic, nasal, topical, vaginal, rectal, inhalation, transdermal.
  • EpiPen emergency protocol: administer, call 911, document.
05 Storage & Disposal of Medication 6 topics·~4 hrs +
  • Storage standards: medication-only cabinet, original pharmacy containers.
  • Label transfer rules: only a pharmacist may transfer or change labels.
  • Internal vs. external separation; eye drops stored separately; temperature-specific storage.
  • OTC storage per § 22VAC40-73-680(G): original container with resident's name or pharmacy-issued container.
  • Schedule II to V controlled substance counting per facility protocol.
  • Disposal and loss documentation procedures.
06 Special Issues in Medication Administration 8 topics·~6 hrs +
  • Effects of aging on medication action; adverse drug reactions and non-adherence in older adults.
  • Four classes of psychotropic medications: antidepressants, antianxiety, antipsychotics (neuroleptics), antimanic.
  • Recognizing conditions: depression, anxiety, bipolar, psychotic disorders, individualized disability.
  • Chemical restraints per § 22VAC40-73-10: recognize danger, use behavior management instead.
  • Document behavior in objective facts ("client is pacing, clenched fists") rather than opinions ("agitated").
  • Beer's Criteria: medications considered inappropriate for the elderly.
  • Active vs. passive medication refusal: ISP-driven response, notify HCP, document.
  • OTCs and herbal preparations: HCP order required, MAR documentation.
07 Insulin Administration 7 topics·~6 hrs +
  • Type I (IDDM) vs. Type II (NIDDM) diabetes: causes and management interventions.
  • Diabetes management strategies: diet, exercise, oral medications, insulin injections.
  • Hyperglycemia and hypoglycemia: causes, signs, symptoms, treatment.
  • Blood glucose monitoring: random and fasting; document per facility protocol.
  • Insulin administration methods: syringe, pen, and other delivery devices.
  • Subcutaneous injection technique: insulin pen, vial, and mixing two insulin types.
  • Boundary: non-insulin injections are NOT permitted per 18VAC90-60-110(B)(5).
§ 04 · Context Why this, why us

A career move that actually moves.

The Medication Aide credential is one of the few sub-RN paths that meaningfully raises ceiling and floor: more responsibility, more pay, less ambiguity about where you fit.

Why become a Medication Aide?

Medication Aides play a critical role by
  • Administering medications safely
  • Supporting nurses and care teams
  • Improving resident outcomes and daily care quality
What this means for you
  • Move beyond basic caregiving into a higher-responsibility role
  • Increase your earnings ceiling in a growing field
  • Access better job opportunities in assisted living
  • Take a fast, structured step forward in healthcare

Why Apex?

Most programs focus on completing hours. We focus on preparing you for the job, and the state exam.
What that looks like in practice
  • Training aligned with state-exam testing windows
  • Exam preparation built into every unit
  • Nurses with real-world assisted-living experience teach you
  • Hands-on training that mirrors real care environments
  • Workforce-driven approach aligned with employer expectations
You won't just complete training. You'll be prepared to pass the exam and perform confidently on the job.
§ 05 · Reviews From our students

What students say.

Real feedback from students our instructors have trained.

§ 06 · Schedule Day or evening

Day or evening. You choose after you enroll.

Same curriculum. Same instructors. Same outcome. You pick the schedule that fits your life on the next step after payment.

Day
Monday to Friday
10:00 AM to 3:00 PM
Evening
Monday to Saturday
6:30 PM to 9:30 PM

Both schedules cover the same 68 hours. You'll pick yours during enrollment after payment. For both cohorts, the in-person clinical days and the final exam day run during daytime hours.

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§ 07 · Tuition One fee. Everything in.

What's included.

Most programs charge for the program, then again for materials, then again for the certificate. We don't.

Apex Clinical · Medication Aide Training
Total cost
$925
One fee · covers everything
VBoN-approved program

What's included

  • Tuition (all 68 hours)
  • Training materials & resources
  • Clinical coordination at partner site
  • Certificate of completion
  • Background check
  • Instructor access & exam-prep support
Apply Now

What Medication Aides actually earn.

The credential typically lifts hourly pay $3-$6 over a CNA rate in assisted living. For most caregivers, the $925 program fee is recouped within the first one to two months of the new role.

$18-$24/hr
Typical pay range
Source: U.S. BLS, Medical Assistant / Personal Care Aide ranges
~6 weeks
Payback at $4/hr lift
Based on full-time hours · illustrative
After approval, you'll receive a secure payment link. Pay online in minutes; your seat is confirmed as soon as payment clears.
§ 08 · Process After you apply

From application to first class day.

Five steps. Usually a few business days, sometimes faster.

1
Apply
Quick form, choose day or evening.
2
Review
We check prerequisites and respond.
3
Pay
Secure link, in full or Klarna split.
4
Setup
Background check + enrollment agreement.
5
Start class
Your class details arrive before day one.
§ 09 · FAQ Most-asked

Questions, answered.

If your question isn't here, text our admissions line. We usually reply within an hour during business days.

What's required to become a Medication Aide? +

You need an active CNA, PCA, or Direct Care credential (any one of the three), completion of a VBoN-approved Medication Aide course, and a passing score on the state competency exam. We cover the course; the exam is administered by a contracted testing service.

Will this program prepare me for the state exam? +

That's the whole point of the curriculum design. Every unit ends with exam-aligned practice questions, and the final week of clinical is structured around the testing format.

Is this an online Medication Aide program? +

Hybrid. The classroom portion is completed online in live cohort sessions (day or evening). Lab simulation and in-person clinical hours happen at our Commonwealth Senior Living partner communities.

How long is the program? +

The program is 68 hours total: 40 hours of live online classroom, 20 hours of supervised skills practice, and an 8-hour insulin administration module. The Day cohort runs Monday through Friday, 10:00 AM to 3:00 PM. The Evening cohort runs Monday through Saturday, 6:30 PM to 9:30 PM. For both cohorts, the in-person clinical days and the final exam day are daytime.

Can I work while taking this class? +

Yes. The program is designed around it. Most students are working CNAs or PCAs picking up the credential to expand their role. The evening cohort exists specifically for second-shift caregivers.

Where will my clinical training take place? +

At a Commonwealth Senior Living community, matched to your geography during onboarding. Commonwealth operates communities in Richmond, Charlottesville, Springfield, Arlington, Blacksburg, Ashland, and other locations.

Take the next step

Be ready for the state exam — and the job that comes after.

Start your application. Approved applicants receive a payment link with next steps.