Current through Reg. 50, No. 187; September 24, 2024
(1) An Agency client's need for assistance
with medication administration or ability to self-administer medication without
supervision must be documented by the client's physician, PA, or APRN on an
"Authorization for Medication Administration, " APD Form
65G-7.002 A, effective April
2019, incorporated here by reference, which may be obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-10587.
(a) The client's current Authorization Form
must be maintained in the client's current place of residence, with a copy of
the form in the client's record. The WSC is responsible for assuring that all
providers that assist a client with medications have an up-to-date copy of the
Authorization.
(b) The
Authorization Form must be reviewed and updated by the client's physician, PA,
or APRN at least annually and upon any change in the client's medical condition
or self-sufficiency that would affect the client's ability to self-administer
medication or tolerate particular administration routes. Any provider who
accompanies a client to a medical professional when a change to the
Authorization Form is made is responsible for notifying the WSC of any new
Authorization Form.
(2)
In addition to an executed Authorization for Medication Administration Form and
before providing a client with medication assistance, an unlicensed provider
must also obtain from the client or the client's legal representative a signed
"Informed Consent for Medication Administration" APD Form
65G-7.002 B, effective December
2018, incorporated herein by reference, which may be obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-10588.
(a) The Informed Consent for Medication
Administration must be updated annually or at any point when there is any
change in the client's residential facility provider or other provider
agency.
(b) The current Informed
Consent for Medication Administration must be maintained in each location or
facility in which the client is receiving supervision of self-administration of
medication or administration of medication. A copy of each provider's Informed
Consent for Medication Administration must also be in the client's
record.
(c) The MAP may not act as
the client's health care surrogate or proxy or sign the Informed Consent for
Medication Administration referenced above. Providers or other facility staff
may witness the execution of the form by the client.
(3) A MAP shall limit his or her assistance
to the minimum necessary to ensure proper administration or supervised
self-administration of the medication while preserving the client's
independence.
(4) The requirements
of this Chapter do not apply to the following:
(a) Health care practitioners whose
professional licenses include administration of medication, except all health
care practitioners who provide medication assistance to Agency clients must
ensure the medication administration related documentation requirements
attached to Agency clients are maintained pursuant to this chapter to ensure
the safety and welfare of the clients. This includes the use of the following
forms in cases where the client is served by both MAPs and licensed health care
practitioners:
1. The Authorization for
Medication Administration, pursuant to subsection (1);
2. A medication administration record to
document any medications given as instructed in rule
65G-7.008, F.A.C. The health
care practitioner may utilize the Medication Administration Record Form, APD
Form 65G-7.008 A, as adopted in rule
65G-7.008, F.A.C.;
3. The Off-Site Medication Form, APD Form
65G-7.009 A, as adopted in rule
65G-7.009, F.A.C.;
4. The Medication Destruction Record, APD
Form 65G-7.007 A, as adopted in rule
65G-7.007, F.A.C.;
5. The Medication Error Report, APD Form
65G-7.006 A, as adopted in rule
65G-7.006, F.A.C.;
6. The Controlled Medication Count Form, APD
Form 65G-7.007 B, adopted in rule
65G-7.007,
F.A.C.;
(b) Client family
members or friends who provide medication assistance without compensation, as
permitted by section 464.022(1),
F.S.;
(c) Providers employed by or
under contract with State Medicaid intermediate care facilities for the
developmentally disabled, regulated through chapter 400, part VIII, F.S.,
providers employed by or under contract with licensed home health agencies
regulated (except as referenced in paragraph (a), above) under chapter 400,
Part III, hospices (except as referenced in paragraph (a), above) regulated
under chapter 400, part IV, health care service pools (except as referenced in
paragraph (a), above) regulated through chapter 400, part IX, F.S., or
providers employed by or under contract with assisted living facilities
regulated through chapter 429, part I, F.S.; and
(d) Clients authorized to self-administer
medication without assistance or supervision as described in rule
65G-7.0025, F.A.C., except as
pertains to storage of medications as outlined in rule
65G-7.007,
F.A.C.
Rulemaking Authority
393.501,
393.506 FS. Law implemented
393.506
FS.
New 3-30-08, Amended
7-1-19.
