Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.106 - HEALTH CARE FACILITIES
Subchapter 37.106.21 - Intermediate Care Facilities for the Developmental Disabled ( ICF /DD)
Rule 37.106.2154 - DRUG ADMINISTRATION, STORAGE, AND RECORDKEEPING
Universal Citation: MT Admin Rules 37.106.2154
Current through Register Vol. 18, September 20, 2024
(1) The facility must have an organized system for drug administration that identifies each drug up to the point of administration. The system must assure that:
(a) all drugs are administered in compliance
with the physician's orders;
(b)
all drugs, including those that are self-administered, are administered without
error;
(c) each client is taught
how to administer their own medications if the interdisciplinary team
determines that self-administration of medications is an appropriate objective,
and if the physician does not specify otherwise;
(d) the client's physician is informed of the
interdisciplinary team's decision that self-administration of medications is an
objective for the client;
(e) no
client self-administers medications until he or she demonstrates the competency
to do so;
(f) drugs used by any
client while not under the direct care of the facility are packaged and labeled
in accordance with Montana law; and
(g) drug administration errors and adverse
drug reactions are recorded and reported immediately to a physician.
(2) The facility must:
(a) store drugs under proper conditions of
sanitation, temperature, light, humidity, and security;
(b) keep all drugs and biologicals locked
except when being prepared for administration, and only permit authorized
persons to have access to the keys to the drug storage area, except that any
client who has been trained to self-administer drugs may have access to keys to
their individual drug supply;
(c)
maintain records of the receipt and disposition of all controlled
drugs;
(d) on a sample basis,
periodically reconcile the receipt and disposition of all controlled drugs in
schedules II through IV of the Comprehensive Drug Abuse Prevention and Control
Act of 1970,
21
U.S.C. 801 et seq., as implemented by 21 CFR
part 308; and
(e) comply with the
regulations of controlled drugs if the facility maintains a licensed
pharmacy.
(3) Labeling of drugs and biologicals must:
(a) be based
on currently accepted professional principles and practices; and
(b) include the appropriate accessory and
cautionary instructions, as well as the expiration date, if
applicable.
(4) The facility must remove from use:
(a) outdated
drugs; and
(b) drug containers with
worn, illegible, or missing labels.
(5) Drugs and biologicals packaged in containers designated for a particular client must be immediately removed from the client's current medication supply if discontinued by the physician.
Sec. 50-5-103 and 50-5-238, MCA; IMP, Sec. 53-5-103, 50-5-201 and 50-5-238, MCA;
Disclaimer: These regulations may not be the most recent version. Montana 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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