HAR §11-800-47
HAR §11-800-47. Medication and nutrition
Cite as Haw. Code R. § 11-800-47
(a)
A licensed practical nurse or a registered
nurse shall administer medications that are to
be injected, unless physician orders permit a
client to self-inject. The registered nurse
may delegate the administration of medication
as provided in chapter 16-89, section 16-89-
100.
(b) The caregivers shall obtain training,
relevant information, and regular monitoring
from the client's physician, a home health
agency, as defined in chapter 11-97, or a
Registered Nurse for all medication that the
client requires.
(c) Medication errors and drug side
effects shall be reported immediately to the
client's physician, and the case management
agency shall be notified within twenty-four
hours of such occurrences, as required under
section 11-800-50(b). The caregivers
shall document these events and the action taken
in the client's progress notes.
(d) Use of physical or chemical restraints
shall be:
(1) By order of a physician;
(2) Reflected in the client's service plan;
and
(3) Based on an assessment that includes the
consideration of less restrictive
restraint alternatives.
(e) The caregivers shall obtain
specific instructions and training regarding
special feeding needs of clients from a
person who is registered, certified, or
licensed to provide the instructions and
training. [Eff NOV 13 2018 ] (Auth: HRS
§§321-481, 321-483, 321-485, 346-14) (Imp:
HRS §§321-481, 321-483, 321-485, 346-14)