Requirements For Medications And Treatments

IDAHO ADMINISTRATIVE CODE IDAPA 16.03.22 Department of Health and Welfare Residential Assisted Living Facilities Section 320 Page 16 Facility policies and procedures must specify how medications will be handled. (3-15-22) 01. Medication Distribution. The facility must ensure. (7-1-26) a. All medications must be kept in a locked area such as a locked box or room; (3-15-22) b. Poisons, toxic chemicals, and cleaning agents must not be stored with medications; (3-15-22) c. Biologicals and other medications requiring cold storage must be maintained per manufacturer’s guidelines and the temperature monitored and documented weekly; (7-1-26) d. Each prescription medication must be given to the resident directly from the medi-set, blister pack, or medication container; (3-15-22) e. Each resident must be observed taking the medication; and (3-15-22) f. Medications and treatments must be provided per physician or authorized provider orders. (7-1-26) 02. Discontinued and Expired Prescriptions. Discontinued or outdated medications and treatments must be removed from the resident's medication supply and cannot accumulate at the facility for longer than thirty (30) days. The unused medication must be disposed of properly. The facility must document the following: (7-1-26) a. A description of the drug, including the amount; (3-15-22) b. Name of the resident for whom the medication is prescribed; (3-15-22) c. The method and date of disposal; and (7-1-26) d. Signatures of responsible facility personnel and witness. (3-15-22) 03. Controlled Substances. The facility must track all controlled substances entering the facility, including the amount received, the date, a daily count, reconciliation of the number given or disposed, and the number remaining. (3-15-22) 04. Behavior Modifying Medication. (7-1-26) a. Psychotropic or behavior modifying medication intervention must not be the first resort to address behaviors. The facility must attempt non-drug interventions to assist and redirect the resident’s behavior. (3-15-22) b. The facility must document residents’ response to the medications including demonstrated behaviors and any side effects that impacted the residents’ health or safety. (7-1-26) c. The facility must provide behavior updates to the physician or authorized provider when requested. (7-1-26) 311. – 319. (RESERVED)