South Dakota Administrative Rules
Title 44 - Department of Health
Article 44:80 - Residential hospice facilities
Chapter 44:80:07 - Medication control
Section 44:80:07:01 - Policies and procedures

(1) A requirement that each resident's Medicare certified hospice agency provide instructions for the administration of medication, the recording of medication administration by facility staff, medications or drugs kept on the person or in the room of the resident; and release of medications;

(2) Provisions for proper storage of prescribed medications so that the medications are inaccessible to residents or visitors with requirements for:

(3) The facility shall have policies and procedures for the self-administration of medications. Self-administration to be accomplished with the supervision of a designated employee and approval of the residents Medicare certified hospice agency;

(4) The return of medicines to the residents Medicare certified hospice agency that are discontinued because of the discharge or death of the resident, because the drug is outdated, or because the prescription is no longer appropriate to the care of the resident.

Methods and written policies and procedures shall be established to include the manner of issuance, proper storage, control, accountability, and administration of medications or drugs in accordance with pharmaceutical and nursing practices as well as professional standards.

The facility shall use records to ensure the receipt and disposition for all controlled drugs in sufficient detail to enable an accurate reconciliation. The facility, with the assistance of the Medicare certified hospice agency, shall ensure the drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled. The facility shall have policies and procedure for the periodic reconciliation of all controlled substances. The policies and procedure shall minimize the time between the actual loss or diversion and the time of detection and follow-up to determine the extent of the loss.

If a loss or diversion of controlled substances is identified the facility shall notify the Medicare certified hospice agency to evaluate the residents potentially affected. If the systems have not been effective in preventing the loss or diversion of controlled substances, the facility shall review and revise related controls and procedures as necessary.