Mississippi Administrative Code
Title 24 - Mental Health
Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers
Chapter 13 - Health and Safety
Rule 24-2-13.8 - Medication and First Aid Kits
Universal Citation: MS Code of Rules 24-2-13.8
Current through September 24, 2024
A. Agency providers must have written policies and procedures and documentation of their implementation pertaining to medication control which assures that:
1. The administration of all prescription
drugs and/or other medical procedures must be directed and supervised by a
licensed physician or a licensed nurse in accordance with the MS Nursing
Practice Law and Rules and Regulations.
2. All medications must be clearly labeled.
Labeling of prescription medications must also include the name of the person
for whom it was prescribed.
3.
Medication prescribed for a specific person must be discarded when no longer
used by said person and according to a written procedure to do so.
4. Adequate space is provided for storage of
drugs that is well lighted and kept securely locked. (Exception: Supported
Living service locations not owned or controlled by an agency
provider).
5. Medication stored in
a refrigerator which contains items other than drugs will be kept in a separate
locked compartment or container with proper labeling. (Exception: Supported
Living service locations not owned or controlled by an agency
provider).
6. Drugs for external
and internal use will be stored in separate cabinets or on separate shelves
which are plainly labeled according to such use. (Exception: Supported Living
service locations not owned or controlled by an agency provider).
7. Prescription drugs will be stored in a
separate cabinet or compartment utilized only for that purpose. Prescription
drugs must not be stored with nonprescription drugs. All drugs must be stored
in a location utilized only for storage of prescription and nonprescription
drugs. (Exception: Supported Living service locations not owned or controlled
by an agency provider).
8.
Transportation and delivery of medications must follow any rules, regulations,
guidelines, and statutes set forth by governing bodies authorized to do
such.
9. Practices for the
self-administration of medication by people served in a service location are
developed with consultation of the medical personnel of the agency provider or
the person's treating medical provider(s).
B. Each service location must have a first aid kit. The kit must contain gloves, adhesive bandages, gauze, first aid tape, sterile pads, antiseptic wipes, and a first aid booklet. For buildings housing more than one service, a single first aid kit may be used by all services, if readily/easily accessible for all people in the building. All items must be current.
C. In addition to Rules 13.8.A-B, ID/DD agency providers must have written policies and procedures and documentation of their implementation pertaining to medication with the following guidelines:
1. Assistance with
medication usage by non-licensed personnel
The following procedures are considered assisting a person with their medications and do not require a nurse to perform:
(a) Opening a dose packet of pills that is
packaged by the pharmacy
(b)
Opening a pill bottle labeled for the person and pulling a medication out for
the person to take
(c) Assisting
the person in putting medications in his/her mouth
(d) Documenting that the person took the
medication(s)
(e) Crushing a
medication that can be crushed (with the order from the prescriber stating that
this can be done)
(f) Putting
medication in food or drink (e.g., applesauce, pudding) and giving that mixture
to a person to take orally (with the order from the prescriber stating that
this can be done)
(g) Applying a
topical cream (h) Applying an eye drop
(i) Applying an ear drop
(j) Applying a nasal mist
(k) Applying a non-narcotic skin patch (e.g.,
clonidine, estrogen)
(l) Giving a
routinely ordered unit dose nebulizer treatment (e.g., Albuterol,
atrovent)
(m) Assisting a person to
use a routinely ordered metered dose inhaler (for asthma or Chronic Obstructive
Pulmonary Disease)
(n) Placing
rectal suppository that is routinely ordered
(o) Taking vital signs In order for a
non-licensed person to assist with medication usage, there must be no clinical
decision making needed. Clinical decision making is required to determine if a
person should be given a PRN or "as needed" medication and therefore requires a
licensed nurse.
2. The
administration of all prescription drugs and/or other medical procedures other
than listed in Rule 13.8.A.1 must be directed and supervised by a licensed
physician or a licensed nurse in accordance with the MS Nursing Practice Law
and Rules and Regulations. This includes but is not limited to the following:
(See Rules
12.1.B.6 and 12.3.A.7 for training
requirement)
(a) Administering medication in
a PEG tube
(b) Administering
insulin via a subcutaneous injection
(c) Administering an over the counter
medication that is "as needed" (PRN) (e.g., Tylenol for complaint of a
headache)
(d) Administering an "as
needed" prescribed medication
Section 41-4-7 of the Mississippi Code, 1972, as Amended
Disclaimer: These regulations may not be the most recent version. Mississippi 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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