Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter II - Specific Policies By Service
Section 144-101-II-107 - Psychiatric Residential Treatment Facility Services
Subsection 144-101-II-107.08 - MEDICATION PRO RE NATA (PRN)

A. PRN medication orders are written on an "as needed" basis for the treatment of a member's medical or psychiatric condition;

B. PRN medication orders can only be issued if developed as part of the member's Treatment Plan;

C. PRN medication orders must be signed and dated by authorized licensed practitioners and must include detailed behavior-specific written instructions, including symptoms that might require use of such medication, exact dosage, exact time frames between dosages, and the maximum dosage to be given in a 24-hour period;

D. The PRTF may only administer a PRN medication order for antipsychotic-type psychotropic medication when the PRTF also has an order prescribing routine scheduled and administered doses of the antipsychotic-type psychotropic medication for the member;

E. PRN medication orders shall not be used as a form of restraint and shall not be written in anticipation of an emergency safety situation. PRN medication cannot be given in response to a member's aggressive behavior, in order to restrict a member's movement or given to prevent the resident from acting out violently;