Haw. Code R. § 11-100.1-15 - Medications
(a) All medicines prescribed by physicians
and dispensed by pharmacists shall be deemed properly labeled so long as no
changes to the label have been made by the licensee, primary care giver or any
ARCH/Expanded ARCH staff, and pills/medications are not removed from the
original labeled container, other than for administration of medications. The
storage shall be in a staff controlled work cabinet-counter apart from either
resident's bathrooms or bedrooms.
(b) Drugs shall be stored under proper
conditions of sanitation, temperature, light, moisture, ventilation,
segregation, and security. Medications that require storage in a refrigerator
shall be properly labeled and kept in a separate locked container.
(c) Separate compartments shall be provided
for each resident's medication and they shall be segregated according to
external or internal use.
(d)
Appropriate liquid medicine measuring devices shall be available and in use
when liquid medicine is made available.
(e) All medications and supplements, such as
vitamins, minerals, and formulas, shall be made available as ordered by a
physician or APRN.
(f) Medications
made available to residents shall be recorded on a flowsheet. The flowsheet
shall contain the resident's name, name of the medication, frequency, time,
date and by whom the medication was made available to the resident.
(g) All medication orders shall be
reevaluated and signed by the physician or APRN every four months or as ordered
by the physician or APRN, not to exceed one year.
(h) All telephone and verbal orders for
medication shall be recorded immediately on the physician's order sheet and
written confirmation shall be obtained at the next physicians visit and not
later than four months from the date of the verbal order for the
medication.
(i) Only trained staff
shall be allowed to make prescribed medications available to
residents.
(j) Medication shall be
offered only to the resident for whom it is ordered.
(k) Medication errors and drug reactions
shall be reported immediately to the physician or APRN responsible for the
medical care of the client and shall document observations and action taken in
the resident's record.
(l) There
shall be an acceptable procedure to separately secure medication or dispose of
discontinued medications.
(m) All
medications and supplements, such as vitamins, minerals, and formulas, when
taken by the resident, shall be recorded on the resident's medication record,
with date, time, name of drug, and dosage initialed by the care
giver.
(n) Self administration of
medication shall be 'permitted when it is determined to be a safe practice by
the resident, family, legal guardian, surrogate or case manager and primary
care giver and authorized by the physician or APRN. Written procedures shall be
available for storage, monitoring and documentation.
Notes
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