Medication Administration

(1) The service recipient’s ability and training must be taken into consideration when supervising the self-administration of medication. (2) Prescription medications are to be taken only by service recipients for whom they are prescribed, and in accordance with the directions of a physician. (3) Medications must be stored in a locked container which ensures proper conditions of security and sanitation and prevents accessibility to any unauthorized persons. MINIMUM PROGRAM REQUIREMENTS FOR MENTAL HEALTH CHAPTER 0940-05-17 ADULT RESIDENTIAL TREATMENT SERVICES (4) Discontinued and outdated medications and containers with worn, illegible, or missing labels must be disposed. (5) It must be documented and reported to practitioners who prescribed the medication, all medication errors, drug reactions, or suspected overmedication. (6) Evidence of the current prescription of each medication taken by a service recipient must be maintained by the program. (7) All direct-service staff must be trained about medications used by service recipients. This training must include information about the purpose and function of the medications, their major side effects and contraindications, and ways to recognize signs that medication is not being taken or is ineffective. (8) Staff must have access to medications at all times. (9) All medications must be administered by licensed medical or licensed nursing personnel or by other qualified personnel. (Qualified personnel under these rules means a certified or registered respiratory therapist, a radiological technologist, a nuclear medicine technologist, or a certified physician assistant practicing pursuant to a protocol approved by the medical staff.) Such qualified service personnel may only administer medication within the scope of an established protocol. (10) Schedule II drugs must be stored within two (2) separately locked compartments at all times and be accessible only to staff in charge of administering medication. (11) All medications and other medical preparations intended for internal or external human use must be stored in medicine cabinets or drug rooms. Such cabinets or drug rooms must be kept securely locked when not in use and the key must be in the possession of the supervising nurse or other authorized staff. Locks in doors to medicine cabinets and drug rooms must be such that they require an action on the part of staff to lock and unlock. (12) Staff must document each time a service recipient self-administers medication or refuses a medication. This documentation must include the date, time, medication name, dosage as well as over the counter medication. This documentation must be made on the medication log sheet in the service recipient's chart.