Self-Administration Of Medication

Prior to giving the resident responsibility for administering medications without assistance, the provider must ensure the following: (3-28-23) 01. Approval. The provider has obtained written approval from the resident’s healthcare professional stating that the resident is capable of safe self-administration; otherwise, staff will comply with Section 402 of these rules. (3-28-23) 02. Evaluation. The resident’s record includes documentation that the resident’s healthcare professional has evaluated the resident’s ability to safely self-administer medication. The evaluation must include verification of the following: (3-28-23) a. The resident understands the purpose of each medication; (3-28-23) b. The resident is oriented to time and place and knows the appropriate dosage and times to take the medication; (3-28-23) c. The resident understands the expected effects, adverse reactions, or side effects, and knows what actions to take in case of an emergency; and (3-28-23) d. The resident can take the medication without assistance or reminders from staff. (3-28-23) 03. Change in Condition. Should the condition of the resident change such that it brings into question the resident’s ability to safely continue self-administration of medications, the provider will arrange for a reevaluation of the resident to self-administer under Subsection 401.02 of this rule. Until the resident's healthcare professional provides written approval for the resident to resume self-administration, staff will comply with Section 402 of these rules. (3-28-23) 04. Safeguarding Medication. The provider must ensure that the medications of a resident who self- administers are safeguarded, including providing a lockable storage cabinet or drawer to the resident under Section 175 of these rules. The resident is allowed to maintain personal medications under the resident’s own control and possession. (3-28-23)