Fla. Admin. Code Ann. R. 63M-2.026 - Inventory of Medications

Medication inventory shall include, at a minimum, the following components:

(1) A perpetual inventory with clear descriptions shall be maintained for all stock and over the counter medications with documented weekly checks by a licensed health care staff. A week is defined as a seven-day period beginning on Sunday and ending on Saturday.

(2) Controlled substances must be counted with a witness daily, which is defined as seven days a week, including Holidays. During shifts when a controlled substance is provided, the count must be completed prior to, and after, the administration/delivery of the medication. Shift-to-shift inventory counting of controlled substances shall be conducted under the supervision of a licensed nurse. Non-health care staff are allowed to assist the licensed nurse with conducting the count. Only when a licensed nurse is not onsite is the trained non-health care staff permitted to conduct the count without a licensed nurse. This process shall be included in the facility's operating procedure regarding medication management. Each dosage and shift-to-shift inventory of a controlled substance administered to a youth, shall be documented on the youth's Controlled Medication Inventory Record (HS 008). The completed Controlled Medication Inventory Record (HS 008) shall be filed in the youth's Individual Health Care Record. The Controlled Medication Inventory Record (HS 008, May 2023) is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-17513. The facility may utilize a pre-printed pharmacy-controlled medication record if the form includes all information required on the Controlled Medication Inventory Record (HS 008).

(3) Reporting criteria and methods of managing and investigating inventory discrepancies, including unexplained losses of controlled substances. Facilities shall notify the appropriate department branch regional staff of the unexplained loss. The DHA or Physician Designee, and Superintendent or Program Director shall be notified immediately for any discrepancies with the daily controlled substance inventory count.

(4) Discontinued and abandoned controlled medications shall be counted until disposed. The youth's Controlled Medication Inventory Record (HS 008) shall be attached to the record of medication disposal.

Notes

Fla. Admin. Code Ann. R. 63M-2.026

Rulemaking Authority 985.64(2) FS. Law Implemented 985.64(2), 985.145, 985.18 FS.

New 3-16-14, Amended by Florida Register Volume 51, Number 014, January 22, 2025 effective 2/5/2025.

New 3-16-14.