Iowa Administrative Code
Agency 481 - INSPECTIONS AND APPEALS
INSPECTIONS DIVISION
Chapter 67 - GENERAL PROVISIONS FOR ELDER GROUP HOMES, ASSISTED LIVING PROGRAMS, AND ADULT DAY SERVICES
Rule 481-67.5 - Medications
Universal Citation: IA Admin Code 481-67.5
Current through Register Vol. 46, No. 19, March 20, 2024
(1) If a program handles, stores, or administers controlled substances, the program shall be registered with the Iowa board of pharmacy as a care facility in accordance with 657-Chapter 10.
(2) Each program shall follow its own written medication policy, which shall include the following:
a. The program shall not prohibit
a tenant from self-administering medications.
b. A tenant shall self-administer medications
unless:
(1) The tenant or the tenant's legal
representative delegates in the occupancy agreement or signed service plan any
portion of medication setup to the program.
(2) The tenant delegates medication setup to
someone other than the program.
(3)
The program assumes partial control of medication setup at the direction of the
tenant. The medication plan shall not be implemented by the program unless the
program's registered nurse deems it appropriate under applicable requirements,
including those in Iowa Code section 231C. 16A and subrule 67.9(4). The
program's registered nurse must agree to the medication plan.
c. A tenant shall keep medications
in the tenant's possession unless the tenant or the tenant's legal
representative, if applicable, delegates in the occupancy agreement or signed
service plan partial or complete control of medications to the program. The
service plan shall include the tenant's choice related to storage.
d. When a tenant has delegated medication
administration to the program, the program shall maintain a list of the
tenant's medications. If the tenant self-administers medications, the tenant
may choose to maintain a list of medications in the tenant's apartment or to
disclose a current list of medications to the program for the purpose of
emergency response. If the tenant discloses a medication list to the program in
case of an emergency, the tenant remains responsible for the accuracy of the
list.
e. When medication setup is
delegated to the program by the tenant, staff via nurse delegation may transfer
medications from the original prescription containers or unit dosing into
medication reminder boxes or medication cups.
f. When medications are administered
traditionally by the program:
(1) The
administration of medications shall be provided by a registered nurse, licensed
practical nurse or advanced registered nurse practitioner registered in Iowa,
by an individual who has successfully completed a department-approved
medication aide or medication manager course and passed the respective
department-approved medication aide or manager examination, or by a physician
assistant (PA) in accordance with 645-Chapter 327. Injectable medications shall
be administered as permitted by Iowa law by a registered nurse, licensed
practical nurse, advanced registered nurse practitioner, physician, pharmacist,
or physician assistant (PA).
(2)
Medications shall be kept in a locked place or container that is not accessible
to persons other than employees responsible for the administration or storage
of such medications.
(3) The
program shall maintain a list of each tenant's medications and document the
medications administered.
(4)
Medications and treatments shall be administered as prescribed by the tenant's
physician, advanced registered nurse practitioner or physician
assistant.
g. Narcotics
protocol, including destruction and reconciliation, shall be determined by the
program's registered nurse.
Disclaimer: These regulations may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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