Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
Subchapter P - PHARMACY SERVICES
Section 554.1508 - Drug Administration

Universal Citation: 26 TX Admin Code ยง 554.1508

Current through Reg. 49, No. 38; September 20, 2024

(a) The facility must establish drug administration procedures to ensure that:

(1) drugs to be administered are checked against the physician's orders;

(2) the resident is identified before the administration of a drug;

(3) each resident has an individual medication record, where the dose of drug administered is properly recorded by the person who administered the drug;

(4) drugs and biologicals are prepared and administered by the same person, except under unit-of-use package distribution systems and as outlined in § 554.418 of Title 40 (relating to Self-Administration of Drugs); and

(5) drugs prescribed for one resident must not be administered to any other person.

(b) The facility nursing staff must report drug errors and adverse drug reactions to the resident's physician in a timely manner, as warranted by an assessment of the resident's condition, and record them in the resident's record. An incident report must be completed in accordance with § 554.1923 of Title 40 (relating to Incident or Accident Reporting). Medication errors include, but are not limited to, administering the wrong medication, administering at the wrong time, administering the wrong dosage strength, administering by the wrong route, omitting a medication, and/or administering to the wrong resident.

(c) Nursing facilities must have current medication reference texts or sources, including information on pediatric medications, dosages, sites, routes, techniques of drug administration, desired effects, and possible side effects, if facilities have pediatric residents.

(d) A licensed nurse may exercise professional judgment in the crushing of a medication, providing that the medication is not a time-released or enteric coated medication.

(1) If there is any question about crushing a medication for a resident, the licensed nurse must check with the treating physician, dispensing pharmacist, or consultant pharmacist.

(2) The crushed medication should be administered as soon as feasible once it has been added to another substance.

Disclaimer: These regulations may not be the most recent version. Texas 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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