Kan. Admin. Regs. § 26-52-20 - Medication administration; prescribing other treatments
(a) Each licensee
shall develop and implement policies and procedures for medication
administration and prescribing other treatments for each patient's physical
health, mental or behavioral health, and alcohol and substance abuse problems
pursuant to
K.S.A. 59-29c10, and amendments thereto. Each
licensee, in consultation with the clinical director, shall develop and
implement policies and procedures that include the following:
(1) Medication and other treatments shall be
prescribed, ordered, and administered only in conformity with generally
accepted clinical practice;
(2)
medication shall be administered only upon the written order or verbal order of
a physician, physician's assistant, or advanced practice registered nurse, and
each verbal order for administration of medication shall be noted in the
patient's medical records and subsequently signed by the prescribing physician,
physician's assistant, or advanced practice registered nurse;
(3) each patient's medication and treatment
regimen shall be regularly monitored by the prescribing physician, physician's
assistant, or advanced practice registered nurse for the occurrence of adverse
symptoms or harmful side effects;
(4) each prescription written for
psychotropic medication shall contain a termination date not exceeding 30 days
following the date of the prescription, but the prescription may be renewed by
the prescribing physician, physician's assistant, or advanced practice
registered nurse in accordance with the requirements of
K.S.A. 59-29c10, and amendments thereto, and this
regulation;
(5) documentation and
consent required for prescribing medication and other treatments for voluntary
patients admitted pursuant to
K.S.A. 59-29c04, and amendments thereto;
(6) documentation and consent required for
prescribing non-psychotropic medication and other treatments for the physical
health of each involuntary patient admitted pursuant to
K.S.A. 59-29c06 or
K.S.A. 59-29c07, and amendments thereto;
(7) documentation and processes required to
prescribe psychotropic medication over the objection of an involuntary patient
admitted pursuant to
K.S.A. 59-29c06 or
K.S.A. 59-29c07, and amendments thereto;
(8) documentation and consent required for
each patient for surgery or administration of experimental
medications;
(9) documentation of
consultations with each patient's guardian or legal representative;
and
(10) documentation of
consideration of views expressed in each patient's wellness recovery action
plan or psychiatric advance directive.
(b) Each licensee shall develop and implement
policies and procedures to establish requirements for storage of medication,
including the following:
(1) Safe storage of
prescription and nonprescription medications in a locked cabinet or locked room
located in a designated area accessible to and supervised by authorized staff
members only;
(2) Medications
requiring refrigeration shall be stored in a locked refrigerator, in a
refrigerator in a locked room, or in a locked medicine box in a refrigerator
located in a designated area accessible to and supervised by authorized staff
members only.
(3) Medications taken
internally shall be kept separate from other medications and in a designated
area accessible to and supervised by authorized staff members
only.
(c) Each licensee
shall develop and implement policies and procedures to establish requirements
for accounting for medication, documentation of medication administered to each
patient, and proper disposal of medication, including the following:
(1) All unused medications shall be accounted
for and disposed of in a safe manner, including being returned to the pharmacy,
transferred with the patient upon discharge, or safely discarded;
(2) medication counts of controlled
prescription medication shall be conducted no less than daily by two
professional staff members;
(3)
disposal of unused prescription medication shall be properly documented
including the name of the prescription medication disposed, the amount disposed
of each prescription medication, and the method of disposal of each
prescription medication;
(4) two
professional staff members shall be involved in the disposal of controlled
substances to deter the opportunity for drug diversion; and
(5) each center shall have policies and
procedures on processing patient discharges against medical advice (AMA) or
when a patient otherwise discharges without taking prescribed medication with
them, including whether any follow-up will occur with the patient or their
emergency contact and an explanation how medication left by a patient will be
recorded, counted, returned to inventory, or discarded to minimize
opportunities for drug diversion.
(d) Professional staff members shall receive
training in the proper methods of recording, accounting for, and administration
of, prescription and nonprescription medication.
(e) An authorized physician, physician's
assistant, or advanced practice registered nurse shall be contacted at the time
of admission for any patient who is taking a prescribed medication to assess
the need for continuation of the medication.
(f) An authorized physician, physician's
assistant, or advanced practice registered nurse shall order each change of
prescription medication or directions for administering a prescription or
nonprescription medication.
(1) Copies of each
written order from an authorized physician, physician's assistant, or advanced
practice registered nurse adding a prescription medication, changing a
prescription medication, or changing instructions for administration of a
prescription or non-prescription medication shall be kept in the patient's
record.
(2) A verbal order issued
for medication administration or other treatment must be noted in each
patient's medical record. The prescribing physician, physician's assistant, or
advanced practice registered nurse shall review and sign all notations of
verbal orders in the patient's medical record within 48 hours of issuance of
the verbal order.
(g)
Nonprescription and prescription medications shall be administered only by
designated professional staff who have received training on medication
administration. Each administration of prescription and non-prescription
medication shall be documented in the patient's record with the following
information:
(1) The name of the designated
staff member who administered the medication;
(2) the name and amount of the medication
administered;
(3) the date and time
the medication was given;
(4) each
change in the patient's behavior, response to the medication, or adverse
reaction;
(5) each alteration in
the administration of the medication from the instructions on the medication
label and documentation of the specific alteration administered; and
(6) each missed dose of medication and
documentation of the reason the dose was missed.
(h) Prescription or nonprescription
medications or herbal or folk remedies shall not be used to manage or control a
patient's behavior unless prescribed for that purpose by an authorized
physician, physician's assistant, or advanced practice registered
nurse.
Notes
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