Allied Health

The LIMA program is a 2-week hybrid program with one scheduled clinical day. Coursework is online and allows students to work at their own pace for a 2-week. If the coursework has been completed with a grade of 80% or higher, an 8-hour clinical day at a facility will be scheduled.

Our program is approved by the Department of Health and Senior Services and the Department of Mental Health.

• When will I receive my certification? When you complete the class with an 80% or higher, you will be scheduled for clinical and state testing. Your instructor will provide you with a certificate and your certification number when you have passed the testing.
• What are the requirements for the LIMA program? The student must have access to a computer and the internet for course work. You must be able to attend clinical.
• Who makes the clinical schedule? The instructor will discuss dates and schedule you for clinical closer to the end of the 2-week period.
• What if I get sick or unable to keep up with class or go to clinical? You MUST contact the instructor. Coursework and clinical are a requirement per the State regulation. The instructor is willing to work with you if you communicate. 
• Can I do clinical on the weekend? No. The instructor will schedule Clinical hours with you and will occur Monday- Friday, from 7:00 am-3:30 pm.  
• What do I wear to clinical? You will be asked to wear plain scrubs, a plain T-shirt or polo shirt, and scrub bottoms or pants with no holes or fraying. No jeans are allowed.
• Who do I call, or how do I contact the instructor? The instructor will give you contact information on the first day of class.
• Are vaccinations or a background check required for this course? No.
• Who do I call if I have computer problems? You can contact IT or Student Services for computer or Canvas problems. You must give them your student ID number so they can locate you in the system. IT can be reached at (417) 447-7548 or by email at [email protected] . Student Services can be reached at (417) 447-6900 or by email at [email protected]
• When do I get the book for the class? You may pick up your book from the OTC Bookstore after you are registered.
• Who am I certified through?  You will have LIMA certification with the Department of Health and Senior Services and Department of Mental Health.

This is an in-person meeting for a 4-hour training session.

To verify the status of a LIMA, check the DHSS registry at Welcome | MO TMU (tmutest.com) https://mo.tmutest.com. IF the LIMA does not show on this registry, email the Department of Mental Health (DMH) registry at: [email protected] and provide the person’s legal name at the time of certification and the last four digits of the social security number. If they do not show in either system, they may not be registered in Missouri, or they may be certified under a different name.

Any LIMA who has been off the active registry for more than five (5) years shall retake the course, or s/he may challenge the examination if s/he meets the requirements as listed in the regulation.

Level I Medication Aides participate in a minimum of four (4) hours of medication administration training every two (2) years in order to administer medications in an assisted living facility or residential care facility. 

There is no book, course or computer work. This is an in-person 4-hour training session.

TRAINING ADDRESSES THE FOLLOWING and is approved by both DHSS and DMH:

1. Medication ordering and storage;
2. Medication administration and documentation;
3. Use of generic drugs;
4. Infection Control;
5. Observing and reporting possible medication reactions;
6. New medications and/or new procedures;
7. Medication errors;
8. Individual rights and refusal of medications and treatments;
9. Issues specific to the facility/program as indicated by the needs of the residents and the medications and treatments currently being administered;
10. Corrective actions based on identified problems.

When this training is complete, the instructor will provide a training completion certificate to the LIMA taking the training.

This class prepares Certified Nurse Assistants to become Certified Medication Technicians to work in long-term care facilities. If the CMT portion is successfully passed, this course will provide insulin administration certification as well. The course meets the requirements of the MO Department of Health and Senior Services.

• What are the requirements for the CMT program? The student must
  • have been employed as a CNA for at least 6 months in Missouri, 
  • have an active CNA license,
  • provide a copy of a high school diploma, GED, or HiSet, 
  • have a Letter of recommendation from the current or previous Director of Nursing written on facility letterhead,                             
  • sign the Healthcare agreement, 
  • present a valid, photo government ID,  
  • have a valid social security number,  
  • provide vaccinations prior to the clinical portion of the program, if requested 
• When do we learn about Insulin? The insulin class is the last 2 weeks of the course. You will be given the book and supplemental information for the class then. The Department of Health and Senior Services requires you to complete and pass the CMT course and exam before taking the Insulin course.
• How long is the class, do we attend every day? The CMT program is eight weeks long. You will meet one day a week for each of the eight weeks with the instructor for instruction and lab. The class is from 9:00 am until 3:30 pm, and you will be given a 30-minute lunch break. Attendance is mandatory, any time missed will need to be made up and coordinated with the instructor. A Clinical is scheduled in the last half of the course and will be determined by the instructor.
• Where do we have classes at? Classes are held at the OTC Springfield campus.
• Are vaccines required for the program? N You are in class on the recommendation of your facility Director of Nursing and/or employer.
• Is a background check required for the program? You are in class on the recommendation of your facility Director of Nursing and/or employer.
• Is a drug screen required to complete clinical? You are in class on the recommendation of your facility Director of Nursing and/or employer. However, OTC reserves the right to drug screen our students. Refer to the Health Sciences Drug Testing Policy.
• What happens if I do not pass any of the above requirements? If you do not meet any of the above, you cannot continue in the program.
• Are scrubs provided, or do we wear scrubs to class? Scrubs are not provided or required for class.
• What if I am sick or not able to attend class or clinical? You MUST contact the instructor. Please remember that there are mandatory hours for classroom and clinical. If you absolutely CANNOT be in class or clinical, it will be made up at the discretion of the instructor.
• What if I am going to be late for class or clinical? You MUST contact the instructor and let them know you are going to be late. Tardiness counts and must be made up.  Repeated tardiness indicates a lack of responsibility and will require counseling with the program’s instructor and/or Director.
• Who do I call, or how do I contact the instructor? Each instructor will give you contact information on the first day of class.
• Who do I call if I have computer problems? You can reach out to IT or Student Services for computer or Canvas problems. You must give them your student ID number so they can locate you in the system. IT can be reached at (417) 447-7548 or by email at [email protected]. Student Services can be reached at (417) 447-6900 or by email at [email protected]
• Do I have to have a computer to complete this class? You must have access to a computer to complete this class. OTC has a library with computers available. The library is open Monday through Friday from 8:00 am to 6:00 pm. You may also utilize a public library location. The campus buildings are open from 7:00 am until 9:00 pm, and some computers are available for general student use. 
• What book do I need to purchase? You will be given access to the book for your class on the first day. 
• What if I am unable to get my assignments completed on time? You MUST communicate with your instructor.
• When will I receive my certification? You will sit for the State Certification testing when you complete the class with an 80% or higher. Your instructor will provide you with the written certification exam and schedule you for the practical exam. You will receive your certification certificate on the last day of the class.

The student must be a Certified Medication Technician (CMT) or a Level 1 Medication Aide (LIMA) in good standing with the State of Missouri and have a letter of recommendation (LOR) from their DON or administrator.

This course would be scheduled for the last two weeks of the CMT/Insulin class.

• How long is the class, do we attend every day? The Insulin administration program is 2 weeks long. You will meet 1 day each week, with the instructor for instruction and lab. Class is from 9:00 am until 3:30 pm, and you will be given a 30-minute lunch break. Attendance is mandatory. Any time missed will need to be made up and coordinated with the instructor. Clinical is scheduled on the last day of the course and will be determined by the instructor.
• Where do we have classes at? Classes are held at the OTC Springfield campus.
• Are scrubs provided or do we wear scrubs to class? Scrubs are not provided or required for class.
• What if I am sick or not able to attend class or clinical? You MUST contact the instructor. Please remember that there are mandatory hours for classroom and clinical. If you absolutely CANNOT be in class or clinical, it will be made up at the instructor’s discretion.
• When will I receive my certification? When you complete the class with an 80% or higher, you will sit for the State Certification testing. Your instructor will provide you with the written certification exam and will schedule you for the practical exam. The last day of the class is when you will receive your certification certificate.
• What if I am going to be late for class or clinical? You MUST contact the instructor and let them know you will be late. Tardiness counts and must be made up.  Repeated tardiness indicates a lack of responsibility and will require counseling with the instructor and/or the Director of the program.
• Who do I call or how do I contact the instructor? You will be given contact information on the first day of class for each instructor.
• Who do I call if I have computer problems? You can reach out to IT or Student Services for computer or Canvas problems. You must give them your student ID number so they can locate you in the system. IT can be reached at (417) 447-7548 or by email at [email protected]  Student Services can be reached at (417) 447-6900 or by email at [email protected] 
• Do I have to have a computer to complete this class? You must have access to a computer to complete this class. OTC has a library with computers available. The library is open Monday through Friday from 8:00 am to 6:00 pm. You may also utilize a public library location. The campus buildings are open from 7:00 am until 9:00 pm and there are some computers available for general student use.   
• What book do I need to purchase? You will be able to pick up the book from the OTC Bookstore once you have been registered for this course. 
• What if I am unable to get my assignments completed on time? You MUSTcommunicate with your instructor.

This workshop is online for a 2-week period and available to the student to complete at their own pace. There is a form to complete and return to the instructor when you have completed the workshop.

The Workshop is approved for DHSS and DMH.

• When will I receive my certification? When you complete the class with an 80% or higher, you will complete the form at the end of the workshop and email it to the instructor. The instructor will complete the certification for the registry, and you will receive a certificate from the instructor as well as a letter from the Department of Health and Senior Services.
• What are the requirements for the LIMA Train the Trainer Workshop? The student must:
  • be a currently licensed as a RN or LPN in Missouri or hold a current temporary permit from the Missouri Board of Nursing or hold a multi-state or single state RN or LPN license from a jurisdiction that is party to the Nurse Licensure Compact,
  • have a minimum of one (1) year experience working as a nurse,
  • not be subject of current disciplinary action such as censure, probation, suspension, or revocation,
  • not be listed on the employee disqualification list (EDL)
• How long is the class, do we attend every day? The workshop is online for a 2-week period, and you go at your own pace. There is a form to complete and return to the instructor when you have completed the workshop.
• Who do I call or how do I contact the instructor?  You will be given contact information on the first day of class for each instructor.
• Who do I call if I have computer problems? You can reach out to IT or Student Services for computer or Canvas problems. You must give them your student ID number so they can locate you in the system. IT can be reached at (417) 447-7548 or by email at [email protected] Student Services can be reached at (417) 447-6900 or by email at [email protected]
• What if I am unable to get my assignments completed on time? You MUST communicate with your instructor.
• I am an LPN, can I teach insulin administration? Only a registered nurse is allowed to teach insulin administration in Missouri.

This workshop is online for a 2-week period and available to the student to complete at their own pace. There is a form to complete and return to the instructor when you have completed the workshop.

The Workshop is approved for DHSS and DMH.

• When will I receive my certification? When you complete the class with an 80% or higher, you will complete the form at the end of the workshop and email it to the instructor. The instructor will complete the certification for the registry, and you will receive a certificate from the instructor as well as a letter from the Department of Health and Senior Services.
• What are the requirements for the LIMA Train the Trainer Workshop? The student must:
  • be a currently licensed as a RN or LPN in Missouri or hold a current temporary permit from the Missouri Board of Nursing or hold a multi-state or single state RN or LPN license from a jurisdiction that is party to the Nurse Licensure Compact,
  • have a minimum of one (1) year experience working as a nurse,
  • not be subject of current disciplinary action such as censure, probation, suspension, or revocation,
  • not be listed on the employee disqualification list (EDL)
• How long is the class, do we attend every day? The workshop is online for a 2-week period, and you go at your own pace. There is a form to complete and return to the instructor when you have completed the workshop.
• Who do I call or how do I contact the instructor?  You will be given contact information on the first day of class for each instructor.
• Who do I call if I have computer problems? You can reach out to IT or Student Services for computer or Canvas problems. You must give them your student ID number so they can locate you in the system. IT can be reached at (417) 447-7548 or by email at [email protected] Student Services can be reached at (417) 447-6900 or by email at [email protected]
• What if I am unable to get my assignments completed on time? You MUST communicate with your instructor.
• I am an LPN, can I teach insulin administration? Only a registered nurse is allowed to teach insulin administration in Missouri.

This specialized course will prepare Registered Nurses to instruct, provide testing exams, supervise nurse assistants and certified medication technician students during class, lab, clinical hours, and on-the-job training in long-term care facilities. The Missouri Department of Health and Senior Services requires and approves this program. Attendees are placed on the Mo—State Registry of Qualified Instructors, Examiners, and Clinical Supervisors.

• What are the requirements for the CNA/CMT/Insulin Instructor/Examiner and Clinical Supervisor course? The student must:
  • be currently licensed as an RN in Missouri or hold a current temporary permit from the Missouri Board of Nursing or hold a multi-state or single-state RN or LPN license from a jurisdiction that is a party to the Nurse Licensure Compact,
  • not be subject to current disciplinary action such as censure, probation, suspension, or revocation,
  • not be listed on the employee disqualification list (EDL),
  • not be previously disqualified as an instructor unless he or she receives written approval from DHSS and must provide a copy,
  • have had, at a minimum, two (2) years of nursing experience and at least one (1) year of experience in the provision of long-term care facility services in the last ten (10) years,
  • must have and provide a copy of the approval letter from DHSS to take this course,
  • must be able to remain on the facility premises when students are working with residents.

• When will I receive my certification? When you complete the class with an 80% or higher, you will complete the form and agreements at the end of the workshop and email them to the instructor. The instructor will complete the certification for the registry, and you will receive a certificate from the instructor as well as a letter from the Department of Health and Senior Services.
• How long is the class, do we attend every day? The course is online for a 2-week period, and you go at your own pace. There is no book. There is a form to complete, and an agreement to sign with DHSS (to protect and keep secure the CMT final examination and the PIN used to electronically access the Instructor Guide/Test Bank); and return to the instructor when you have completed the seminar.
• Who do I call or how do I contact the instructor? You will be given contact information on the first day of class for the instructor.
• Who do I call if I have computer problems? You can reach out to IT or Student Services for computer or Canvas problems. You must give them your student ID number so they can locate you in the system. IT can be reached at (417) 447-7548 or by email at [email protected].  Student Services can be reached at (417) 447-6900 or by email at [email protected]
• What if I am unable to get my assignments completed on time? You MUSTcommunicate with your instructor.
• As a CNA instructor, can I be the Clinical Supervisor as well? Yes.
• Can I be the CNA Examiner if I am the course instructor and/or Clinical Supervisor? No. The regulation states the CNA examiner should have taught a similar course or be qualified to teach a similar course; but cannot have been the instructor of the students being examined; nor can they be employed by the operator whose students are being examined. The CNA examiner must be specifically approved by the department to administer state certification exams of the state-approved nurse assistant training curriculum and must have signed an agreement with the department to protect and keep secure the final examinations.
• Can I be the CMT Examiner if I am the course instructor? Yes.

This class is for LPNs (in good standing with the state of Missouri) to complete their Intravenous Therapy Certification. Tuition includes clinical hours, lab fees, supplies, course materials, the fee for a random drug screening, a criminal background check fee in myCertiphi and vaccination records in My Record Tracker (MRT). 

This class will only meet in person on the final day for the clinical component. The remainder of the class will be online.

• What are the requirements for the IV Therapy Certification? The student must:
  • be an LPN in good standing in the state of Missouri.
  • not be subject of current disciplinary action such as censure, probation, suspension, or revocation,
  • not be listed on the employee disqualification list (EDL),
  • Provide proof of MMR plus booster, Varicella plus booster, TDAP within the last 10 years, negative TB skin test performed within the previous six months and proof of Hepatitis B or declination.
• How long is the class, do we attend every day? The course is online for a 6-week period, and you go at your own pace and will be scheduled for a clinical day with the instructor in the last 2 weeks of class.
• Are vaccines required for the program? Yes, you are required to upload copies of your vaccination history to our third party, my record tracker, within the first week of the program. This must be completed before you are placed in a clinical environment.
• Is a background check required for the program? Yes. You must successfully pass a federal, criminal, and local background check. Information will be sent to you after the first day of class from our clinical coordinator to your OTC email address. These must come back clear before you can start your clinical rotation.
• Is a drug screen required to complete clinical? Yes. You must successfully pass a urine drug screen before being placed in a clinical environment.
• What happens if I do not pass any of the above requirements? If you do not meet any of the above, you will not be allowed to continue in the program.
• Who do I call or how do I contact the instructor? You will be given contact information on the first day of class for the instructor.
• When will I receive my certification?     Toward the completion of the course, you will be scheduled for the clinical day. On the clinical day, you will take the state required exam for IV certification for the state of Missouri and participate in the clinical experience with a check off. The instructor will provide a certificate to you at the completion of clinical and will process the certification paperwork to send to the Missouri State Board of Nursing.
• Who do I call if I have computer problems? You can reach out to IT or Student Services for computer or Canvas problems. You must give them your student ID number so they can locate you in the system. IT can be reached at (417) 447-7548 or by email at [email protected]  Student Services can be reached at (417) 447-6900 or by email at [email protected]
• What if I am unable to get my assignments completed on time? You MUSTcommunicate with your instructor.
• Where will the clinical portion of the class be located? The clinical location, date, and time will be scheduled with you by the instructor in the last 2 weeks of the course. This is determined by the size of the class that will be certifying and the schedule of the clinical location at the time.
• Do I have to wear scrubs to clinical? Plain scrubs or business casual with a lab coat are preferred.
• Are scrubs or lab coats provided for the student? No