Md. Code Regs. 13A.15.11.04 - [Effective until 2/12/2024] Medication Administration and Storage
A. Medication Administration.
(1) Medication, whether prescription or
nonprescription, may not be administered to a child in care unless:
(a) Parental permission to administer the
medication is documented on a completed, signed, and dated medication
authorization form, provided by the office, that is received by the provider or
substitute before the medication is administered; and
(b) A licensed health practitioner has
approved the administration of the medication and the medication
dosage.
(2) A
prescription medication may not be administered to a child unless at least one
dose of the medication has been given to the child at home.
(3) If medication is by prescription, it
shall be labeled by the pharmacy or physician with:
(a) The child's name;
(b) The date of the prescription;
(c) The name of the medication;
(d) The medication dosage;
(e) The administration schedule;
(f) The administration route;
(g) If applicable, special instructions, such
as "take with food"; and
(h) The
duration of the prescription; and
(i) An expiration date that states when the
medication is no longer useable.
B. Topical Applications. A diaper rash
product, sunscreen, or insect repellent supplied by a child's parent may be
applied without prior approval of a licensed health practitioner.
C. Medication shall be administered according
to the instructions on the label of the medication container or a licensed
health practitioner's written instructions, whichever are more recently
dated.
D. Recording Requirements.
(1) Each administration of a prescription or
nonprescription medication to a child, including self-administration of a
medication by the child, shall be noted in the child's record.
(2) Application of a diaper rash product,
sunscreen, or insect repellent supplied by a child's parent shall be noted in
the child's record.
E.
Medication Storage.
(1) Each medication shall
be:
(a) Labeled with the child's name, the
dosage, and the expiration date;
(b) Stored as directed by the manufacturer,
the dispensing pharmacy, or the prescribing physician; and
(c) Discarded according to guidelines of the
Office of National Drug Control Policy or the U.S. Environmental Protection
Agency, or returned to the child's parent upon expiration or
discontinuation.
(2) All
medications shall be stored to make them inaccessible to children in care but
readily accessible to the provider, substitute, or additional adult.
F. Self-Administration of
Medication.
(1) Before a child may
self-administer medication while in care, a provider shall:
(a) Have a written order from the child's
physician and the written request of the child's parent for the child's
self-administration of medication;
(b) In consultation with the child's parent,
establish a written procedure for self-administration of medication by the
child based on the physician's written order; and
(c) Authorize the child to self-administer
medication.
(2)
Revocation of Authorization to Self-Administer.
(a)A provider may revoke a child's
authorization to self-administer medication if the child fails to follow the
written procedure required by §F(1)(b) of this regulation.
(b) Immediately upon revoking the child's
authorization to self-administer medication, the provider shall notify the
child's parent of that revocation.
(c) The provider shall document the
revocation of authorization to self-administer and the notification to the
child's parent in the child's record.
G. Effective January 1, 2016, medication may
be administered to a child in care only by an individual who has completed
approved medication administration training, unless:
(1) The individual is a registered nurse,
licensed practical nurse, or medication technician certified by the Maryland
Board of Nursing to administer medication to children in care; or
(2) Responsibility for administering
medication to children in care has been delegated to the individual by a
delegating nurse in accordance with COMAR 10.27.11.
Notes
Regulation .04A, E amended effective April 19, 2010 (37:8 Md. R. 618)
Regulation .04B amended effective March 21, 2011 (38:6 Md. R. 396)
Regulation .04 amended effective 42:14 Md. R. 881, eff.
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