Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE
Chapter 95 - ADMINISTRATION OF MEDICATIONS BY MEDICATION AIDES AND MEDICATION STAFF
Section 172-95-009 - WRITTEN DIRECTION FOR AN ADDITIONAL ACTIVITY
Current through March 20, 2024
There must be written direction whenever a medication aide or medication staff provides as needed (PRN) medication(s), provides medication by an additional route, or participates in observing and reporting. The written direction must be specific to each recipient, and provided by a caretaker or licensed health care professional. There is no requirement for written direction when direction and monitoring is provided by a competent recipient. Documentation may be accomplished by any of the following methods:
(A) Direction for as needed (PRN) medication must include instructions for the recipient-specific criteria under which a specific medication may be provided and the reporting requirements associated with the as needed (PRN) provision of said medication. The instructions must be for each as needed (PRN) medication provided and must be readily available for reference by and reviewed periodically with the medication aide or medication staff to assure continued safe provision of as needed (PRN) medications;
(B) Directions for an additional route must include instructions for the recipient-specific procedure and must be readily available at all times for reference and reviewed periodically with the medication aide or medication staff to assure continued safe provision of medication by an additional route; or
(C) Direction for participation in observing and reporting must include instructions for recipient-specific criteria for which the medication aide or medication staff is to observe and report. Instructions must include time lines for observing and reporting, and must identify the person to be notified. Instruction must be readily available for reference and be reviewed periodically with the medication aide or medication staff to assure continued safe monitoring.
