0940-05-46-.10
Medication Administration Requirements
Cite as Tenn. Comp. R. & Regs. 0940-05-46-.10
(1)
Medications must be administered by licensed medical or licensed nursing personnel or other
qualified staff under a protocol approved by medical staff. Qualified personnel under these
rules means a certified or registered respiratory therapist, a radiological technologist, or
certified physician assistant practicing within the scope of their professional license or
certification.
(2)
Qualified personnel must have access to medications at all times.
(3)
Evidence of the current prescription of each medication taken by a service recipient must be
maintained by the facility.
(4)
The facility must ensure that prescription medications are taken only by service recipients for
whom they are prescribed, and in accordance with the directions of a physician.
MINIMUM PROGRAM REQUIREMENTS FOR ALCOHOL AND DRUG
CHAPTER 0940-05-46
RESIDENTIAL TREATMENT FACILITIES FOR CHILDREN AND YOUTH
(5)
All medication errors, medication reactions, or suspected inappropriate medication use must
be reported to the Medical Director of the facility who will then report to the prescriber, if
known.
(6)
All direct service staff must be trained about medications used by the service recipient. 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.
(7)
Discontinued and outdated medications and containers with worn, illegible, or missing labels
must be disposed of according to law.
(8)
Schedule II medications must be stored in two (2) separately locked compartments at all
times and be accessible only to staff in charge of administering medication.
(9)
All medications and other medical preparations intended for internal or external human use
must be stored in sanitary and secure medicine cabinets or drug rooms. Such cabinet 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.