63M-2.022. Verification and Procurement of Medications Prescribed Prior to Admission

(1) Facility and/or Program staff must continue all currently prescribed and verified medications to youth prior to entering the department’s custody. (2) A duly licensed Physician, PA or APRN must make all changes in medication regimens subsequent to an appropriate assessment. Under no circumstances may staff in a facility discontinue an appropriately prescribed medication that the youth is receiving upon admission. (3) Upon admission to a facility, the youth and parent or guardian/assigned custodian (if available), shall be interviewed about the youth’s current medications. (4) Medication verification shall also take place during the completion of the Health-Related History, and/or the Comprehensive Physical Assessment. (5) Only medications from a licensed pharmacy, with a current, patient-specific label intact on the original medication container may be accepted into a department facility. (6) Medications may not be administered unless all of the following have been met: (a) The youth reports that he or she is taking a prescribed oral medication; (b) Either the youth or the parent/guardian/assigned custodian has brought the valid, patient-specific medication container to the facility, or can be verified by contacting the current provider or dispensing pharmacy; (c) The substance in the medication container has been verified as the correct medication; and, (d) The medication is properly labeled. (7) After medication verification, the Medication Receipt, Transfer, & Disposition Form (HS 053, October 2023) shall be completed, with copy of the form provided to the parent/guardian/assigned custodian (when parent/guardian/assigned custodian is available). The Medication Receipt, Transfer & Disposition Form (HS 053) is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-17512. The original form shall be a part of the Individual Health Care Record. (8) Further medication verification requires DHA or physician designee, PA, or APRN notification and a medical evaluation of the youth completed, with documentation in the Chronological Progress Notes. (9) A Practitioner’s Order from the DHA or Physician Designee, PA or APRN is required to resume the specified medications. (10) Trained, non-licensed staff must verify the medications when youth are admitted to a facility and licensed nurses are not on duty. (11) The Designated Health Authority or physician designee, PA or APRN shall be notified withing 24 hours when a youth with a medication has been admitted into the facility. (12) Any contact made with the youth’s prescribing community practitioner(s) shall be documented on a chronological progress note and filed in the youth's Individual Health Care Record. (13) Any medication that is not successfully verified will be destroyed and documented as such per Rule 63M-2.027, F.A.C., or returned to the parent/legal guardian/assigned custodian