Mich. Admin. Code R. 330.7158 - Medication
Rule 7158.
(1) A
provider shall only administer medication at the order of a physician and in
compliance with the provisions of section 719 of the act, if
applicable.
(2) A provider shall
assure that medication use conforms to federal standards and the standards of
the medical community.
(3) A
provider shall not use medication as punishment, for the convenience of the
staff, or as a substitute for other appropriate treatment.
(4) A provider shall review the
administration of a psychotropic medication periodically as set forth in the
recipient's individual plan of service and based upon the recipient's clinical
status.
(5) If an individual cannot
administer his or her own medication, a provider shall ensure that medication
is administered by or under the supervision of personnel who are qualified and
trained.
(6) A provider shall
record the administration of all medication in the recipient's clinical
record.
(7) A provider shall ensure
that medication errors and adverse drug reactions are immediately and properly
reported to a physician and recorded in the recipient's clinical
record.
(8) A provider shall ensure
that the use of psychotropic medications is subject to the following
restrictions:
(a) Unless the individual
consents or unless administration of chemotherapy is necessary to prevent
physical injury to the individual or to others psychotropic medications shall
not be administered to:
(i) A recipient who
has been admitted by medical certification or by petition until after a final
adjudication as required under section 468(2) of the act.
(ii) A defendant undergoing examination at
the center for forensic psychiatry or other certified facility to determine
competency to stand trial.
(iii) A
person acquitted of a criminal charge by reason of insanity while undergoing
examination and evaluation at the center for forensic psychiatry.
(b) A provider may administer
chemotherapy to prevent physical harm or injury after signed documentation of
the physician is placed in the resident's clinical record and when the actions
of a recipient or other objective criteria clearly demonstrate to a physician
that the recipient poses a risk of harm to himself, herself, or
others.
(c) Initial administration
of psychotropic chemotherapy may not be extended beyond 48 hours unless there
is consent. The duration of psychotropic chemotherapy shall be as short as
possible and at the lowest possible dosage that is therapeutically effective.
The chemotherapy shall be terminated as soon as there is little likelihood that
the recipient will pose a risk of harm to himself, herself, or
others.
(d) Additional courses of
chemotherapy may be prescribed and administered if a recipient decompensates
and again poses a risk to himself, herself, or others.
(9) A provider shall ensure that only
medication that is authorized in writing by a physician is given to recipients
upon his or her leave or discharge from the providers program and that enough
medication is made available to ensure the recipient has an adequate supply
until he or she can become established with another provider.
Notes
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No prior version found.