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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11305
Database ID: 2471
Record Series Title: Medication Administration Training Class
Record Series Abstract: Consist of: Proof of instruction, documentation, certificates, participant sign in/out sheet, written tests, skills check off sheet, and Medication Administration Records and related documentation, correspondence.
Record Series Active: Yes
Cut Off at End of: Fiscal Year
If Other, Explain:
Total Retention: 5 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records are mailed to Regional Offices by trainer after training & stored in regional nursing offices in locked/secure area. A copy is kept at Central Office for billing purpose.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2474
Record Location: DIDD Central Office 400 Deaderick Street, Nashville, TN 37243 ETRO - Knoxville Regional Office Langley Building 520 West Summit Hill Drive, Suite 201 Knoxville, TN 37902 MTRO - Stamps Building, 291 Stewarts Ferry Pike, Nashville, TN 37214 WTRO Lowell Thomas Building, 4th Floor 225 Martin Luther King Dr., Jackson, TN 38301
File Arrangement: By date of class
Media Format Generated: Paper
Media Format Stored: Paper: Sheet
Date Range: Fiscal year July 1st - June 20th every year
Annual Accumulation: 3 cubic ft
Current Volume: 15 cubic ft
Record Value: Administrative, Fiscal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 5
Past Year: 5
2 - 5 Years: 0
Over 5 Years: 0
Data Update Frequency: Daily
Information Shared Outside of State: No
If Shared, List Agencies:
Essential Record: No
Essential Record Stored:
Essential Record Media Type:
Confidential: Yes
Confidential Legal Citation: TCA 10-7-504
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 1
Agency Retention - Years Active: 1
Agency Retention - Years Inactive: 4
Records Center Retention Period:
Final Disposition after Retention Expires: Destroy
Legal Citation: TCA 10-7-504
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name:
IT-ABC Number:
Hardware Description:
Software Description:
System Location:
Backup Procedures:
Disaster Recovery:
Data Migration Description:
Metadata Description:
Contact Information
Contact Name: Simone Cuarino
Job Title: HIPAA & Records Compliance Director
Address 1: 400 DEADERICK STREET
Address 2: 10th Floor
City: Nashville
Zip: 37243
Phone: 615-532-6511
Email: simone.cuarino@tn.gov
Agency: Dept. of Intellectual & Developmental Disabilities
Agency Head: DEBRA K. PAYNE, COMMISSIONER
Director: Sandra Wise, Director
Allotment Code: 344.01
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 10-03-2018 No recommended changes.
Tennessee State Libary and Archives: 10-04-2018 No recommended changes.
Comptroller Audit Review: 2018-10-04 We have reviewed RDA 11305 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 10-08-2018
RMD Director Recomendations: 10-11-2018 RDA 11305 is a request to create an RDA. The retention period will be five years and destroy. The format will be paper. Recommend approval of request to create RDA 11305.
Signed Form Received: 2018-10-10
PRC Meeting Date: 10-30-2018
PRC Comments: PRC approves RDA 11305.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
2471 11305 2018-10-30 Approved