R21-7-225. Medications; Allergies

A. The licensee shall have a written policy and procedure that governs over-the-counter and prescription medication usage and shall specify: 1. Safe storage of medications as required by A.A.C. Title 21, Chapter 8, Article 1; 2. A process to identify and ensure a child in care has access to necessary medication while at school or outings; such as rescue inhalers, and auto injector pens; 3. The process for medication administration, which shall be in accordance with any applicable laws; 4. The qualifications of the staff allowed to administer medications; 5. The qualifications of the staff allowed to supervise the self-administration of medications; 6. The supervision, process, and documentation of self-administration of medication; 7. The documentation process for the administration of medication, medication errors, and drug reactions; 8. The process and documentation of notifying a child in care’s health care provider in case of a medication error or a drug reaction; and 9. The process and documentation when a child in care refuses to take a prescribed medication. B. The licensee shall have a written policy and procedure that governs food allergies, medication allergies, or other allergies and shall specify: 1. The plan in the event of the child in care’s exposure to an allergen; 2. That a licensee disclose the child in care’s known allergies to a prescribing medical professional prior to the prescription or administration of medication or any procedures; and 3. The precautions a licensee shall take to ensure the child in care is not exposed to a food or other allergen, including: a. Safe food handling to minimize the chance of cross contamination, and b. Review of household items to ensure that they do not include a substance to which a child is allergic. C. The licensee shall have a written medication log for each child in care who receives medication. The log shall include: 1. Child’s name; 2. Child’s allergies; 3. Name of the prescribing medical professional; 4. Telephone number at which the prescribing medical professional may be reached in case of medical emergency; 5. Reason for each prescribed medication; 6. Date on which the medication was prescribed; 7. Generic or commercial name of the medication; 8. Dosage level and time of day when the medication is to be administered, including any special administration instructions; 9. Each date, time, and dosage administered; 10. Dosages remaining after each administration; 11. The signature of the direct care staff administering each dosage. If the medication is self-administered, the log shall include the signature of the child and the direct care staff supervising the child’s self-administration; and 12. The signature of the direct care staff and child if a dose is refused by the child.