Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 748 - MINIMUM STANDARDS FOR GENERAL RESIDENTIAL OPERATIONS
Subchapter L - MEDICATION
Division 4 - MEDICATION RECORDS
Section 748.2151 - What records must you maintain for each child receiving medication?

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

(a) You must maintain a cumulative medication record of all:

(1) Prescription medication dispensed to each child; and

(2) Nonprescription medications and supplements that are dispensed to a child under five years old.

(b) The cumulative medication record must be updated:

(1) Within 2 hours of administering medication, unless you operate a cottage home model; or

(2) Within 24 hours of administering medication if you operate a cottage home model.

(c) You must maintain the medication record, which must include:

(1) Child's full name;

(2) Prescribing health-care professional's name, if applicable;

(3) Reason medication was prescribed, for prescription medication;

(4) Medication name, strength, and dosage;

(5) Date (day, month, and year) and time the medication was administered;

(6) Name and signature of the person who administered the medication;

(7) Child's refusal to accept medication, if applicable; and

(8) Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that you are treating, only for:
(A) PRN psychotropic medications; and

(B) Nonprescription medications and supplements for children under five years old.

(d) Unless you operate on a cottage home model, you must count each medication prescribed to a child at least daily and document the count. The medication count must match the medication documentation.

(e) You must document in the medication record any non-prescription medication or supplement that is given to the child and how often the child receives the medication or supplement.

(f) You must document any prohibited prescription medications (for example, medication allergies or contraindications) or prohibited non-prescription medications and supplements in the medication record.

(g) You must incorporate the medication record into the child's record.

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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