Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 663 - Continuum of Care and Assisted Living
Subchapter 19 - Administration, Records and Policies
Section 310:663-19-2 - Medication administration
Universal Citation: OK Admin Code 310:663-19-2
Current through Vol. 42, No. 1, September 16, 2024
(a) Each assisted living center shall adopt written procedures to ensure safe administration of medications.
(1)
Medications shall be administered only on a physician's order.
(2) The person responsible for administering
medications shall personally prepare the dose, observe the swallowing of oral
medication, and record the medication. Medications shall be prepared within one
hour prior to administration.
(3)
An accurate written record of medications administered shall be maintained. The
medication record shall include:
(A) The
identity and signature of the person administering the medication.
(B) The medication administered within one
hour of the scheduled time.
(C)
Medications administered as the resident's condition may require (p.r.n.) are
recorded immediately, including the date, time, dose, medication, and
administration method.
(D) Adverse
reactions or results.
(E) Injection
sites.
(F) An individual inventory
record shall be maintained for each Schedule II medication prescribed for a
resident.
(G) Medication error
incident reports.
(4) A
resident's adverse reactions shall be reported at once to the attending
physician.
(b) An assisted living center may maintain nonprescription drugs for dispensing from a common or bulk supply if all of the following are accomplished.
(1) The assisted living center shall have and
follow a written policy and procedure to assure safety in dispensing and
documenting medications given to each resident.
(2) The assisted living center shall maintain
records which document the name of the medication acquired, the acquisition
date, the amount and the strength received for each medication maintained in
bulk.
(3) Only a licensed nurse,
physician, pharmacist, certified medication aide or medication aide technician
may dispense for administration these medications and only upon a physician's
written order for as needed or nonscheduled dosage regimens. The physician's
written order shall be maintained in the resident's clinical record.
(4) Bulk medications shall be stored in the
medication area and not in resident rooms.
(5) The assisted living center shall maintain
records of all bulk medications that are dispensed on an individual signed
medication administration record.
(6) The assisted living center shall maintain
the original label on the container as it comes from the manufacturer or on the
unit-of-use or blister package.
(7)
The assisted living center shall establish in its policy and procedure the
maximum size of packaging and shall ensure that each resident receives the
correct dosage. The assisted living center shall not acquire nor maintain a
liquid medication in a package size that exceeds 16 fluid ounces.
(8) An assisted living center shall have only
oral analgesics, antacids, and laxatives for bulk dispensing. No other category
of medication shall be maintained as bulk medication.
(c) Antipsychotic drug administration shall be consistent with 63 O.S. § 1-881.
Added at 15 Ok Reg 2605, eff 6-25-98; Amended at 17 Ok Reg 2069, eff 6-12-00; Amended at 24 Ok Reg 2007, eff 6-25-071; Amended at 25 Ok Reg 2460, eff 7-11-08
1See Editor's Note at beginning of this Chapter.
Disclaimer: These regulations may not be the most recent version. Oklahoma 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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