Mich. Admin. Code R. 400.15312 - Resident medications
Rule 312.
(1)
Prescription medication, including dietary supplements, or individual special
medical procedures shall be given, taken, or applied only as prescribed by a
licensed physician or dentist. Prescription medication shall be kept in the
original pharmacy-supplied container, which shall be labeled for the specified
resident in accordance with the requirements of Act No. 368 of the Public Acts
of 1978, as amended, being S333.1101 et seq. of the Michigan Compiled Laws,
kept with the equipment to administer it in a locked cabinet or drawer, and
refrigerated if required.
(2)
Medication shall be given, taken, or applied pursuant to label
instructions.
(3) Unless a
resident's physician specifically states otherwise in writing, the giving,
taking, or applying of prescription medications shall be supervised by the
licensee, administrator, or direct care staff.
(4) When a licensee, administrator, or direct
care staff member supervises the taking of medication by a resident, he or she
shall comply with all of the following provisions:
(a) Be trained in the proper handling and
administration of medication.
(b)
Complete an individual medication log that contains all of the following
information:
(i) The medication.
(ii) The dosage.
(iii) Label instructions for use.
(iv) Time to be administered.
(v) The initials of the person who
administers the medication, which shall be entered at the time the medication
is given.
(vi) A resident's refusal
to accept prescribed medication or procedures.
(c) Record the reason for each administration
of medication that is prescribed on an as needed basis.
(d) Initiate a review process to evaluate a
resident's condition if a resident requires the repeated and prolonged use of a
medication that is prescribed on an as needed basis.
The review process shall include the resident's prescribing physician, the resident or his or her designated representative, and the responsible agency.
(e) Not adjust or modify a resident's
prescription medication without instructions from a physician or a pharmacist
who has knowledge of the medical needs of the resident. A licensee shall
record, in writing, any instructions regarding a resident's prescription
medication.
(f) Contact the
appropriate health care professional if a medication error occurs or when a
resident refuses prescribed medication or procedures and follow and record the
instructions given.
(5)
When a resident requires medication while out of the home, a licensee shall
assure that the resident or, in the alternative, the person who assumes
responsibility for the resident has all of the appropriate information,
medication, and instructions.
(6) A
licensee shall take reasonable precautions to insure that prescription
medication is not used by a person other than the resident for whom the
medication was prescribed.
(7)
Prescription medication that is no longer required by a resident shall be
properly disposed of after consultation with a physician or a
pharmacist.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.