Current through Register Vol. 24-18, September 15, 2024
Psychiatric medication management services are a variety of
activities related to prescribing and administering psychiatric medication,
including monitoring an individual for side effects and changes as
needed.
(1) An agency providing
psychiatric medication management services must:
(a) Ensure that medical direction and
responsibility are assigned to a:
(i)
Physician who is licensed to practice under chapter 18.57 or 18.71 RCW, and is
board-certified or board-eligible in psychiatry;
(ii) Psychiatric advanced registered nurse
practitioner (ARNP) licensed under chapter 18.79 RCW; or
(iii) Physician assistant licensed under
chapter 18.71A RCW working with a supervising psychiatrist;
(b) Ensure that the services are
provided by a prescriber licensed by the department who is practicing within
their scope of practice;
(c) Ensure
that all staff administering medications are appropriately
credentialed;
(d) Have a process by
which the prescriber informs either the individual, the legally responsible
party, or both, and, as appropriate, family members, of the potential benefits
and side effects of the prescribed medication(s);
(e) Ensure that all medications maintained by
the agency are safely and securely stored, including assurance that:
(i) Medications are kept in locked cabinets
within a well-lit, locked, and properly ventilated room;
(ii) Medications kept for individuals on
medication administration or self-administration programs are clearly labeled
and stored separately from medication samples kept on-site;
(iii) Medications marked "for external use
only" are stored separately from oral or injectable medications;
(iv) Refrigerated food or beverages used in
the administration of medications are kept separate from the refrigerated
medications by the use of trays or other designated containers;
(v) Syringes and sharp objects are properly
stored and disposed of;
(vi)
Refrigerated medications are maintained at the required temperature;
and
(vii) If the individual gives
permission for disposal, outdated medications are disposed of in accordance
with the regulations of the pharmacy quality assurance commission and no
outdated medications are retained.
(2) An agency providing psychiatric
medication management services may utilize a physician or ARNP without board
eligibility in psychiatry if unable to employ or contract with a psychiatrist.
In this case, the agency must ensure that:
(a)
Psychiatrist consultation is provided to the physician or ARNP at least
monthly; and
(b) A psychiatrist or
psychiatric ARNP is accessible to the physician or ARNP for emergency
consultation.
(3) An
agency providing psychiatric medication management services must document the
service in the individual service record.
