Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 12 - ADULT HEALTH
Chapter 10.12.04 - Day Care for the Elderly and Adults with a Medical Disability
Section 10.12.04.17 - Medication Services and Policies
Universal Citation: MD Code Reg 10.12.04.17
Current through Register Vol. 51, No. 19, September 20, 2024
A. Written policies for the center shall specify that the RN, LPN, or CMT is authorized to procure, receive, control, and manage the administration of medications at the center.
B. Medications.
(1) Medicine or drugs shall be restricted to
those prescribed for the participant by the authorized prescriber.
(2) All medications shall be accurately and
plainly labeled and kept in the original container issued by the prescriber or
pharmacist except as provided in §F(3) of this regulation.
(3) Containers shall be labeled with the:
(a) Participant's full name;
(b) Authorized prescriber;
(c) Prescription number;
(d) Name of the medication and
dosage;
(e) Date of
issuance;
(f) Expiration
date;
(g) Refill limits;
(h) Directions for use; and
(i) Name, address, and telephone number of
the pharmacy issuing the drug.
C. Nurses may not package, repackage, bottle, or label, in whole or in part, any medication in any way by tampering or defacing any labeled medication, except that a nurse may take medications from pharmacy dispensed containers and place the medication in a pill box for the cognitively intact participant who lives independently to self-administer.
D. When a RN or LPN observes an adverse reaction to a medication, the nurse shall immediately call the:
(1) Participant's health care
provider;
(2) Designee of the
participant's health care provider; or
(3) The health care provider that is on call
for the center.
E. Drug Administration and Recording.
(1) The center
shall maintain records of all Schedule II drugs.
(2) Written Order.
(a) Except as provided in §E(2)(b) of
this regulation, medications may not be administered without a written order
that has been signed by the authorized health care provider.
(b) Medication may only be given based upon a
verbal order when the verbal order has been recorded and signed by the RN or
the LPN.
(c) Verbal orders shall be
signed by the authorized health care provider within 30 days.
(3) Except as provided in
Regulation .14B(2)(c)(iii), only an RN, LPN, or authorized health care provider
shall give injectable medication.
(4) For those participants who are not
capable of self-medicating, the individual assigned the responsibility of
administering medications shall:
(a) Prepare
the dosage;
(b) Observe the
participant swallowing the oral medication; and
(c) Document that the participant has taken
the medication.
(5)
Staff members who are licensed and certified to administer medications shall
make a written record of the medications and treatments that are
administered.
(6) Orders shall be
reviewed and updated in a timely manner, consistent with nursing practice
standards, when there is a change in the participant's condition.
F. Drug Storage.
(1) The center shall:
(a) Provide a safe, secure, locked place for
medicines or drugs, and for making medications available to a participant
according to the instructions of his or her health care provider;
(b) Store Schedule II drugs in a locked box
within the medicine cabinet;
(c)
Keep medications requiring refrigeration in a separate locked refrigerator or a
locked box within a medication refrigerator; and
(d) Store medications and medical supplies in
a manner that is secured and apart from participant activity areas, food
storage areas, and chemical storage areas.
(2) A licensed nurse shall inspect the drug
storage conditions at least every 3 months and document his or her
findings.
(3) The center may keep
over-the-counter type medications or supplements that can be purchased without
prescription, such as aspirin or antacids, for administration as ordered by the
participant's practitioner.
Disclaimer: These regulations may not be the most recent version. Maryland 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
