Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1.
Prescription
medication.
Facility policy shall prohibit stock supplies of prescription
medications.
Subp. 2.
Delivery by unlicensed staff.
The delivery of prescription medications by unlicensed staff
must be under the direction of a physician.
Subp. 3.
Policy for storage, delivery,
and control of medication.
A facility administrator shall develop procedures for the
secure storage of medication. The policy must include at a minimum the
following storage requirements:
A.
medication be stored in a locked area;
B. the storage area be kept locked at all
times;
C. medication requiring
refrigeration be refrigerated and secured;
D. detainees not be permitted in the
medication storage area;
E. only
staff authorized to deliver medication may have access to keys for the
medication storage area;
F.
prescribed medication be kept in its original container, bearing the original
label; and
G. poisons and
medication intended for external use be clearly marked and stored separately
from medication intended for internal use.
Subp. 4.
Procedures for delivery of
medication.
A. Each facility must adopt
procedures for the delivery of medication.
B. The procedures must include the following
:
(1) requirements that medication
administered by injection must be administered by a physician, registered
nurse, or licensed practical nurse. Diabetics under physician order and direct
staff supervision must be permitted to self-administer insulin;
(2) requirements that no detainee while
receiving prescription medication may receive any nonprescription medication
without the approval of the attending physician;
(3) procedures for reporting to the physician
any adverse reactions to drugs. Any reports shall be included in the detainees
filer;
(4) procedures for reporting
the attending physician a detainees refusal of prescription medication, and an
explanation made in the detainees record;
(5) procedures for ensuring that no detainee
is deprived of medication as prescribed because of penalty or staff
retaliation;
(6) procedures that
prohibit the delivery of medication by detainees: and
(7) procedures for verifying prescription
medication before administering the medication.
C. Procedures must also include at a minimum
the following:
(1) medication delivered to a
detainee is to be self-administered under staff supervision;
(2) there is to be a means for the positive
identification of the recipient of medication:
(3) procedures and records to assure that
medication is delivered in accordance with physician instructions, and by whom;
and
(4) procedures for confirming
that medication delivered for oral ingestion has been ingested.
Subp. 5.
Records
of receipt; disposition of drags medication.
Records of receipt, the quantity of the drags medication, and
the disposition of prescription medication must be maintained in sufficient
detail to enable an accurate accounting.
Subp. 6.
Medication given to detainee
upon release.
Prescription medication belonging to a detainee must be given
to the detainee or to the appropriate authority upon transfer or release and
shall be recorded in the detainees file.
Subp. 7.
Destruction of
medication.
The destruction of medication on expiration dates or when
retention is no longer necessary or suitable must be consistent with
requirements of the Pollution Control Agency. A notation of the destruction
must be made in the detainees record and a statement of what was destroyed, who
destroyed it, and how it was destroyed.
Statutory Authority: MS s
241.021
