Section 325.1932. Resident medications.

Rule  32.  (1)   Medication  shall  be   given,  taken,   or  applied  pursuant  to   labeling instructions or orders by the prescribing licensed health care professional.

(2)   The giving, taking, or applying of prescription medications shall be supervised by the home in accordance with the resident's service plan.

(3)   If a home or the home's administrator or direct care staff member supervises the taking of medication by a resident, then the home shall comply with all of the following provisions:

(a)    Be trained in the proper handling and administration of medication.

(b)      Complete  an  individual  medication  log   that  contains  all  of  the  following information:

(i)   The medication.

(ii)   The dosage.

(iii)   Label instructions for use.

(iv)   Time to be administered.

(v)   The initials of the person who administered the medication, which shall be entered at the time the medication is given.

(vi)   A resident's refusal to accept prescribed medication or procedures.

(c)   Record the reason for each administration of medication that is prescribed on an as- needed basis.

(d)   Initiate a review process to evaluate a resident’s condition if a resident requires the repeated and prolonged use of a medication that is prescribed on an as-needed basis. The review process shall include the resident's prescribing licensed health care professional, the resident's authorized representative, if any, and the agency responsible for the resident's placement, if any.

(e)     Adjust or modify a resident’s prescription medication with instructions from a prescribing licensed health care professional who has knowledge of the medical needs of the resident. A home shall record, in writing, any instructions regarding a resident's prescription medication.

(f)   Contact the appropriate licensed health care professional if a resident repeatedly refuses prescribed medication or treatment. The home shall follow and record the instructions given.

(g)     Upon discovery, contact the resident’s licensed health care professional if a medication error occurs. A medication error occurs when a medication has not been given as prescribed.

(4)   If a resident requires medication while out of the home, then the home shall assure that the resident, or the person who assumes responsibility for the resident, has all of the appropriate information, medication, and instructions.

(5)    A home shall take reasonable precautions to ensure or assure that prescription medication is not used by a person other than the resident for whom the medication is prescribed.

(6)   Prescription medication that is no longer required by a resident shall be properly disposed of after consultation with a licensed health care professional or a pharmacist.

History: 2004 AACS; 2013 AACS.