Current through Register Vol. 50, No. 9, September 20, 2024
A. Prescription and
over-the-counter (OTC) medications and biologicals are to be disposed of in the
following manner:
1. if medication(s) and/or
biological(s) are discontinued, or the resident is discharged to the hospital,
the nursing facility will retain the medication(s) for up to 60 days and then
be destroyed as described in
§9859. C.2 Such
medications shall be stored in a locked storage area approved by the DON and
consultant pharmacist.
2. If the
resident is deceased, the medication will be disposed of as described in
§9859. C 2, unless there
is a written order of the attending physician specifying otherwise.
3. If the resident is transferred to another
facility, the medication will accompany the resident to the receiving facility
on the written order of the attending physician.
4. If the resident is discharged to facility,
the remaining supply of ordered and filled medication, including controlled
drugs, will accompany the resident facility on the written order of the
attending physician.
B.
If the resident, designated contact and/or legal representative receives the
medications or biologicals, upon written order of the physician, documentation
containing the name and the amount of the medication or biological to be
received shall be completed and signed by the resident, designated contact
and/or legal representative their receipt. This document shall be placed in the
resident's clinical record.
C.
Expired medication shall not be available for resident or staff use. They shall
be destroyed on-site by nursing facility personnel no later than 90 days from
their expiration/ discontinuation date utilizing the following methods.
1. Controlled drugs shall be destroyed
on-site by a licensed health care professional, and witnessed by at least one
other licensed health care professional or in accordance with DEA provisions.
a. All controlled substances to be destroyed
shall be inventoried and documented on a form developed by the nursing
facility's staff, with input from the consultant pharmacist and medical
director. The form shall include, at a minimum:
i. the residents name;
ii. medication name;
iii. strength and quantity of the drug
destroyed;
iv. prescription number;
v. method and date of destruction;
and
vi. signatures of the licensed
health care professionals destroying the medication and the name of the
licensed health care professional witnessing the destruction for each
controlled drug destroyed.
b. This form shall be maintained on the
nursing facility's premises for 24 months and archived for a minimum of 36
months. These drugs shall also be listed on the residents individual
accumulative drug destruction record.
2. For non-controlled drugs, there shall be
documentation of:
a. the residents
name;
b. strength and quantity of
the drug destroyed;
c. prescription
number;
d. method and date of
destruction; and
e. signatures of
at least two individuals (which shall be either licensed nurses who are
employees of the nursing facility or the consultant pharmacist) witnessing the
destruction.
D.
Medications of residents transferred to a hospital may be retained until the
resident's return. Upon the resident's return, the physician's order shall
dictate whether or not the resident is to continue the same drug regimen as
previously ordered.
E. Nothing
herein, shall preclude a nursing facility from donating unused medications to a
provisional pharmacy or to the Department of Corrections or other statutorily
approved programs. Medications not donated shall be destroyed using the
procedures outlined above.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2009.1-2116.
