Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 72 - Forensic Supervised Transitional Residential and Aftercare Facilities Licensing Standards
Subchapter D - Participation Requirements
Section I-7243 - Personal and Supportive Services
Universal Citation: LA Admin Code I-7243
Current through Register Vol. 50, No. 9, September 20, 2024
A. The facility shall provide adequate services and oversight/supervision, including adequate security measures, around the clock as needed for any client in accordance with the clients treatment plan.
B. Client Self-administration of Medications
1. The
FSTRA shall have clear written policies and procedures on direct care staff
assistance with client self-administration of medications.
2. The FSTRA shall assist clients in the
self-administration of prescription and non-prescription medication(s) as
agreed to in their contract or service plan and as allowed by applicable state
statute and in accordance with the regulations of this Section.
3. Assistance with self-administration of
medications shall be limited to the following.
a. The client may be reminded to take his/her
medication(s) when such medications have been prescribed for a specific time of
day, a specific number of times per day, specific intervals of time or for a
specific time in relation to mealtimes or other activities such as arising from
bed or retiring to bed.
b. The
medication regimen, as indicated on the container, may be read to the
client.
c. The dosage may be
checked according to the container label.
d. The staff may open the medicine container
(i.e. bottle, pill organizer, blister pak, etc.) and/or provide assistance with
pouring medications if the client lacks the physical ability to open the
container or pour his/her own medications and the client is cognitive of what
the medication is, what the medication is for and the need for the medication.
i. Offering of liquids to a client who is
familiar with his/her medications to assist that client in ingesting oral
medications is allowed.
e. Assistance with self-administration of
medications shall not include:
i.
administering injections of any kind;
ii. administering any prescription
medications including, but not limited to, eye drops, ear drops, nose drops,
liquid medications, inhalers, suppositories, or enemas;
iii. prompting or reminding a resident that
it is time to take a PRN, or as-needed medication;
iv. crushing or splitting
medications;
v. placing medications
in a feeding tube; or
vi. mixing
medications with foods or liquids.
4. An employee that provides assistance with
the self-administration of medications to a client shall have documented
training on the policies and procedures for assistance with client
self-administration of medications including the limitations of this
assistance. This training shall be repeated and documented at least annually.
Documentation shall include the signature of the employee initially and at
least annually at time of training.
5. A competency evaluation shall be developed
and conducted to ensure that each direct care staff person that assists a
client with the self-administration of medications is able to demonstrate
competency in the training areas pursuant to
§7243. B 1-4.
a. Documentation of such competency
evaluation of each direct care staff person shall be maintained and readily
available in the facilitys records.
6. Unlicensed employees shall not perform
medication administration which is separate and apart from the performance of
assistance of a client with the self-administration of medications.
AUTHORITY NOTE: Promulgated in accordance with R.S. 28:31-28:37.
Disclaimer: These regulations may not be the most recent version. Louisiana 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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