South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:61 - Substance Use Disorders
Chapter 67:61:08 - Medication control in residential programs
Section 67:61:08:02 - Control, accountability, and storage of medications and drugs

(1) Any client on medications for substance use disorder, mental health, or medical conditions shall surrender all medications and drugs upon admission to the agency, and be educated about how to take his or her prescribed medication, while in the program;

(2) Each client shall receive a formal orientation to the agency's medication policies and procedures upon admission;

(3) All drugs or medications must be kept in a locked medication storage area that is inaccessible to all persons at all times, except as provided in § 67:61:08:10;

(4) All controlled drugs must be kept in a separate locked box or drawer within the medication storage area;

(5) Poisons, disinfectants, and medications prescribed for external use must be stored separately from each other and from internal medications, with each in its separate locked area that is inaccessible to clients and visitors;

(6) Biologicals and medications requiring refrigeration or other storage requirements as identified by the manufacturer's labeling must be stored separately, including during refrigeration, freezing, and protection from the light, in an area that is inaccessible to clients and visitors. If these medications are stored in a refrigerator containing items other than medications, the medications must be kept in a separate secured compartment;

(7) Each client's prescription medications must be stored in the medication's originally received containers and may not be transferred to another container;

(8) Any container with a worn, illegible, or missing label must be destroyed, along with the medication or drugs in the container, in accordance with § 67:61:08:05;

(9) Only a licensed pharmacist may label, relabel, or alter labels on medication containers;

(10) Any medication or drug prescribed for one client may not be administered to another client;

(11) If a client brings his or her own medications or drugs into the program, the client's medications or drugs may not be administered unless the client can be identified and written orders for the administration of the medications or drugs is received from a licensed physician;

(12) Each program must have a procedure for contacting the client's identified pharmacies and physicians, as soon as possible after each client is admitted to the program;

(13) If medications or drugs brought by a client into the program are not used, the medications or drugs must be packaged, sealed, stored, and returned to the client, parent, guardian, or significant other, at the time of discharge, if the return of the medications or drugs is approved by a program physician. The return of the medications or drugs must be documented in the client's case record, with the name, strength, and quantity of the medication, and signed by the staff member identified to manage client medication; and

(14) The telephone number of the regional poison control center, the local hospital, the medical director, and the agency administrator must be posted in all drug storage and preparation areas.