Current through Register Vol. 41, No. 3, September 23, 2024
A. The facility shall have, keep current, and
implement a written plan for medication management. The facility's medication
plan shall address procedures for administering medication and shall include:
1. Methods to ensure an understanding of the
responsibilities associated with medication management;
2. Standard operating procedures, including
the facility's standard dosing schedule and any general restrictions specific
to the facility;
3. Methods to
prevent the use of outdated, damaged, or contaminated medications;
4. Methods to ensure that each resident's
prescription medications and any over-the-counter drugs and supplements ordered
for the resident are filled and refilled in a timely manner to avoid missed
dosages;
5. Methods for verifying
that medication orders have been accurately transcribed to medication
administration records (MARs) within 24 hours of receipt of a new order or
change in an order;
6. Methods for
monitoring medication administration and the effective use of the MARs for
documentation;
7. Methods to ensure
that MARs are maintained as part of the resident's record;
8. Methods to ensure accurate counts of all
controlled substances whenever assigned medication administration staff
changes;
9. Methods to ensure that
staff who are responsible for administering medications meet the qualification
requirements of
22VAC40-73-670;
10. Methods to ensure that staff who are
responsible for administering medications are adequately supervised, including
periodic direct observation of medication administration;
11. A plan for proper disposal of
medication;
12. Methods to ensure
that residents do not receive medications or dietary supplements to which they
have known allergies;
13.
Identification of the medication aide or the person licensed to administer
drugs responsible for routinely communicating issues or observations related to
medication administration to the prescribing physician or other
prescriber;
14. Methods to ensure
that staff who are responsible for administering medications are trained on the
facility's medication management plan; and
15. Procedures for internal monitoring of the
facility's conformance to the medication management plan.
B. The facility's written medication
management plan requires approval by the department.
C. Subsequent changes shall be reviewed as
part of the department's regular inspection process.
D. In addition to the facility's written
medication management plan, the facility shall have readily accessible at least
one pharmacy reference book, drug guide, or medication handbook for nurses that
is no more than two years old as reference materials for staff who administer
medications.
Statutory Authority: §§
63.2-217, 63.2-1732, 63.2-1802, 63.2-1805 , and 63.2-1808
of the Code of Virginia.
