Current through Register Vol. 56, No. 18, September 16, 2024
(a) Each consumer taking prescribed or
over-the-counter medication shall self-administer his or her own medication to
the extent possible.
1. Self-administration
of medication means the consumer removes the individual dose of medication from
a container provided by a pharmacy, sample medication container provided by the
prescriber, or a container of non-prescription medication, and consumes the
medication, places it into another container for consumption at a later time,
applies the medication externally, or injects him- or herself with the
medication.
2. Qualified PA staff
(including those qualified by training to administer diabetes testing and
medications) may assist the consumer in self-administering the medication or by
coaching or monitoring the consumer while he or she is self-administering the
medication as part of the individualized rehabilitation plan.
3. If psychotropic medication or controlled
substances are included in the individualized rehabilitation plan, arrangements
appropriate to the consumer's ability to self-administer such medications shall
be provided or arranged as appropriate by any engaged service provider,
including procedures for location, storage, and retrieval of the
medications.
(b) If the
consumer is not capable of taking their own medication independently, the PA
staff shall verbally assist and/or supervise the self-administration of the
medication as prescribed. If the consumer is not physically capable of
self-administration of medication with verbal assistance, appropriately
licensed or certified staff must administer medication by removing the
individual dose of medication from the original container and either giving it
to the consumer to consume, placing it in another container for the consumer to
consume at a later time, applying the medication externally, or administering
an injection of the medication.
(c)
Pursuant to the PA policy, an ongoing written record shall be maintained of all
medication administration events and self-administration events in which PA
staff verbally assisted the consumer.
(d) Medications of consumers who
self-administer their medications and who live in a setting with other
consumers may be stored in the consumer's unit if the consumer and PA take
reasonable precautions to prohibit access to the medications by other
consumers. For consumers who require administration of medication or verbal
assistance in self-administering medication, the PA staff shall store all
prescription and non-prescription medication in a safe and organized manner as
follows:
1. Both prescription and
non-prescription medications shall be kept locked at all times when a staff
member is not in the room. The medications shall be kept locked in a closet,
cabinet, drawer, adequately secured box, or in a room exclusively dedicated for
this purpose.
2. Medications that
require refrigeration shall be maintained in a secure manner (for example, by
using locked boxes or a locked refrigerator) and at a temperature required by
the manufacturer of the medication.
3. The medications specific to each consumer
shall be kept in a separate bag, box, container, or drawer clearly labeled with
the consumer's name. The newly received supply of each medication for a
consumer shall be kept in a separate bag, box, container, or drawer clearly
labeled for newly received medications for the particular consumer until the
currently used supply of the particular medication is finished.
4. A discontinued medication for a consumer
shall be removed from the supply as soon as it is discontinued and placed
within a separate bag, box, container, or drawer clearly labeled for
medications no longer in use.
5.
The keys to stored medications shall not be accessible to consumers or staff
who do not assist the consumer with medications.
6. In supervised residences and shared
supportive housing residences, no stock supply of prescription medications or
syringes shall be stored in the consumer's room or dwelling unit with the
exception of insulin syringes.
7.
PA staff shall destroy medications that are outdated or discontinued in
accordance with established procedures.
(e) A list of all prescribed medications
including the name, purpose, dosage, self-administration frequency, and date
prescribed for each medication shall be entered into the consumer's clinical
record, as per PA policy.
