WAC 388-101D-0355. What must a client record contain if the client is prescribed a psychotropic medication?

(1) If the client is prescribed psychotropic medication, the client's record must contain: (a) The date the client met with the prescriber; (b) Whether the provider was present when the prescriber examined the client; (c) Any medical or behavioral information the provider conveyed to the prescriber; (d) Any instructions the provider received from the prescriber; (e) The drug information sheet obtained from the prescriber or dispensing pharmacy for the psychotropic medication prescribed; (f) The date the provider sent the client's legal representative a copy of the psychotropic drug information sheet, if requested; and (g) Any documentation required under WAC 388-101D-0340 . (2) If the provider does not attend the appointment, the provider must document in the client record whether the client attended the appointment independently or with a third party. (3) The provider must report to the prescriber if: (a) The medication does not appear to have the prescriber's intended effects; or (b) Any changes in the client's behavior or health might be an adverse side effect of the medication.