Current through Register Vol. 43, No. 39, September 26, 2024
(a) Storage of medication. Each licensee
shall ensure that all prescription and nonprescription medication is stored in
the original container at the recommended temperature in accordance with the
instructions on the label and, except as specified in paragraph (e)(4), in a
locked designated area inaccessible to children.
(b) Nonprescription medication.
(1) When nonprescription medication is
administered to any child in foster care, each caregiver shall administer the
medication from the original container and according to instructions on the
label.
(2) Substances including
herbal supplements, folk remedies, natural medicines, essential oils and
vitamin supplements other than a daily multivitamin shall be administered to
any child in foster care with documented approval by a licensed medical
practitioner.
(c)
Prescription medication. When prescription medication is administered to a
child in foster care, each licensee shall ensure compliance with the following
requirements:
(1) Prescription medication
shall be administered only to the designated child and in accordance with
instructions on the label.
(2) Each
prescription medication shall be kept in the original container labeled by a
pharmacist with the following information:
(A)
The first and last name of the child;
(B) the date the prescription was
filled;
(C) the name of the
licensed physician who wrote or approved the prescription;
(D) the expiration date of the medication;
and
(E) specific, legible
instructions for administration and storage of the medication.
(3) The instructions on each label
shall be considered the prescription directions from the licensed
physician.
(4) If a daily or weekly
medication container is used for a child in foster care, all of the following
requirements shall be met:
(A) The medication
container shall be labeled with the child's name.
(B) The medication container shall be used
only for medications that are not affected by exposure to air or light and that
can touch other medications without affecting the efficacy of any of the
medications.
(C) The medications
shall be placed in the medication container by the licensee.
(D) Each dose shall be placed in the
medication container according to the correct time of day.
(E) The medication container shall be kept in
locked storage.
(F) The remainder
of each of the child's medications shall be stored in the respective original
container until the prescription is completed or discontinued.
(G) If any child in foster care is required
to receive medication during a visit or during any absence from the foster
home, all medication sent for the child shall be in containers that meet the
requirements of paragraph (c)(2) and shall be given to the individual taking
responsibility for the child.
(H)
When a child in foster care moves from the family foster home, all current
medications shall be in the individual original containers and shall be given
to the individual taking responsibility for the child.
(I) At no time shall any medication be in the
possession of a child in foster care, except as specified in paragraph
(e)(4).
(d)
Requirements for administering prescription and nonprescription medication.
(1) Before administering medication, each
licensee shall receive training in medication administration as specified in
30-47-806 . Each licensee shall ensure that each individual administering
medication knows the purpose, side effects, and possible contraindications of
each medication.
(2)
(A) For prescription medications, each
caregiver shall record on each child's medication record the following
information:
(i) The name of the individual
who administered each medication;
(ii) the date and time the medication was
given;
(iii) any change in the
child's behavior, any response to the medication, and any adverse
reaction;
(iv) any change in the
administration of the medication from the instructions on the label or a
notation about each missed dose; and
(v) any direction from the physician to
change the order as written on the label.
(B) Each medication record shall be signed by
the care-giver and shall be made a part of the child's medical
record.
(e)
Self-administration of medication.
(1) Any
licensee may permit each child in foster care with a condition requiring
prescription medication on a regular basis to self-administer the medication
under adult supervision. Each licensee shall obtain written permission for the
child to self-administer medication from the licensed physician, licensed
physician assistant, or advanced practice registered nurse treating the child's
condition.
(2) written permission
for self-administration of medication shall be kept in the child's file at the
family foster home.
(3)
Self-administration of each medication shall follow the requirements specified
in paragraph (c)(2).
(4) Each child
in foster care who is authorized to self-administer medication shall have
access to the child's medication for self-administration purposes. Each child
shall have immediate access to medication prescribed for a condition for which
timely treatment is a life-preserving requirement. Each child with asthma,
allergies, or any other life-threatening condition shall have immediate access
to that child's own medication for emergency purposes. Each licensee shall
ensure the safe storage of self-administered medication to prevent unauthorized
access by others.
(5) The date and
time that each medication was self-administered shall be recorded on the
child's medication record. Each noted adverse reaction shall be documented.
Each licensee shall review the record for accuracy and shall check the
medication remaining in the container against the expected remaining
doses.