Current through Reg. 50, No. 187; September 24, 2024
(1) MAPs and
licensed health care practitioners must observe the following medication
storage requirements:
(a) Store each
medication at the temperature appropriate for that medication, including
refrigeration if required;
(b)
Destroy any prescription medication that has expired per the pharmacist's label
or the label provided by the manufacturer on OTC medications, or is no longer
prescribed and document the medication disposal on a "Medication Destruction
Record, " APD Form 65G-7.007 A, effective April
2019, incorporated herein by reference, which may be obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-10756.
The MAP or licensed health care practitioner must sign the Record before a
third-party witness;
(c) Maintain
medication samples in their original containers labeled by the dispensing
health care practitioner with the client's name, the practitioner's name, and
the directions for administering the medication. The MAP or licensed health
care practitioner must initial and add to the label the date the medication is
opened;
(d) Maintain OTC
medications in their original stock containers. OTC medications in original
stock containers are not required to have individual client's names provided on
the container;
(e) Store the
medications centrally in a locked container in a secured enclosure if the
client requiring the medication assistance is residing or receiving services in
a facility setting;
(f) Organize
and maintain stored medications in a manner that ensures their safe retrieval
and minimizes medication errors;
(g) Store all medications that require
refrigeration in a refrigerator, in their original containers either within a
locked storage container that is clearly labeled as containing medications, or
in a medication dedicated refrigerator located in a locked, secured medication
storage room;
(h) Return each
medication to its portable or permanent storage unit immediately following
medication administration assistance.
(2) A residential facility or supported
living client who does not require medication administration assistance or
supervised self-administration may store his or her medication in a secure,
locked place within his or her room. However, a client's medications must be
centrally stored and retrieved by the MAP or licensed health care practitioner
if:
(a) The client's physician documents in
the client's file that leaving the medication in the personal possession of the
client would constitute a threat to the health, safety, or welfare of the
client or others;
(b) The client
fails to securely maintain the medication in a locked place;
(c) The MAP, licensed health care
practitioner, facility administrator, or Agency determines that, based on the
home's physical arrangements or the habits of other residents, the client's
personal possession of medication poses a threat to the safety of others,
or
(d) The client or the client's
authorized representative requests in writing that the client's medication be
centrally stored.
(3)
Either a licensed health care practitioner or MAP must securely maintain keys
to the locked containers and storage enclosures containing medications and
provide written procedural provisions for accessibility to medications in cases
of emergency.
(4) If multiple
clients are prescribed identical OTC medications, the facility may utilize a
single stock container to provide the medications to multiple
clients;
(5) Controlled medication
storage requires the following additional safeguards:
(a) The controlled medications must be stored
separately from other prescription and OTC medications in a locked container
within a locked enclosure.
(b) For
facilities operating in shifts, a MAP or licensed health care practitioner must
perform controlled medication counts for each incoming and outgoing personnel
shift, as follows:
1. The medication count
must be performed by a MAP or licensed health care practitioner and witnessed
by another MAP or licensed health care practitioner,
2. Both providers must verify count accuracy
by documenting the amount of medication present and comparing that amount to
both the previous count and number of doses administered between counts,
3. The providers must record the
medication count on a "Controlled Medication Form." The Controlled Medication
Count Form, APD Form 65G-7.007 B, effective April
2019, incorporated herein, may be obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-10600.
The MAP or licensed health care practitioner must sign and date the form
verifying the count; and
4.
Immediately document and report any medication discrepancies to the facility
supervisor.
(c) For
facilities with only one MAP or licensed health care practitioner per shift,
the MAP or licensed health care practitioner must conduct, document, and sign a
daily medication count on the Controlled Medication Form; and
(d) For facilities with no shifts, the MAP or
licensed health care practitioner who is responsible for medication
administration must conduct, document, and sign a controlled medication count
at least once each day on the Controlled Medication Form, using the same
counting and documentation technique described in paragraph
(5)(c).
Rulemaking Authority
393.501,
393.506 FS. Law Implemented
393.506
FS.
New 3-30-08, Amended
7-1-19.
