Nev. Admin. Code § 435.675 - Administration of medication
1. A member of the
direct support staff of a provider of supported living arrangement services may
administer medication to persons receiving supported living arrangement
services if the member has successfully completed a program concerning the
administration of medication which is approved by the Division.
2. A person who is receiving supported living
arrangement services may have his or her medication administered by:
(a) A provider of health care; or
(b) A member of the direct support staff of a
provider of supported living arrangement services who has successfully
completed a program concerning the administration of medication which is
approved by the Division if:
(1) The member of
the direct support staff administers the medication according to the
instructions of a provider of health care;
(2) The person, or his or her parent or
guardian, as applicable, provides written authorization to receive medication
from a member of the direct support staff of the provider of supported living
arrangement services in accordance with
NRS
453.375 and
454.213; and
(3) The person submits to a physical
examination by his or her provider of health care on an annual basis and the
provider of health care determines that the person is medically cleared to
receive medication from the member of the direct support staff.
3. A member of the
direct support staff of a provider of supported living arrangement services who
has successfully completed a program concerning the administration of
medication which is approved by the Division:
(a) May administer medication pursuant to
this section;
(b) Must refer a
person who is receiving supported living arrangement services to a provider of
health care if:
(1) The medical condition of
the person changes or the person develops a new or additional medical
condition;
(2) The medication
prescribed by the person authorized to prescribe medication does not accomplish
the objectives of the medication, as identified by the person authorized to
prescribe medication, after the medication has been administered according to
the prescription;
(3) Any emergency
situation develops; or
(4) The
provider of health care of the person instructs the member of the direct
support staff to refer the person to the provider of health care;
(c) Shall not administer:
(1) Any medication to a person who has been
admitted to a medical facility;
(2)
Any medication which requires dose titration or an assessment of the needs of
the person who is receiving supported living arrangement services concerning
the medication;
(3) Except as
otherwise provided in paragraph (d), any medication required to be administered
by injection; or
(4) Any extended
release medication which must be crushed, cut or otherwise altered before the
administration of the medication; and
(d) May administer auto-injectable
epinephrine for acute or emergent anaphylactic response if prescribed by a
person authorized to prescribe medication and the member of the direct support
staff has documentation that he or she has been trained in the use of
auto-injectable epinephrine and monitoring persons who have received
auto-injectable epinephrine for side effects.
4. As used in this section:
(a) "Person authorized to prescribe
medication" means:
(1) A physician, dentist or
podiatric physician who holds a license to practice his or her profession in
this State;
(2) A hospital,
pharmacy or other institution licensed, registered or otherwise permitted to
distribute, dispense, conduct research with respect to or administer drugs in
the course of professional practice or research in this State;
(3) An advanced practice registered nurse who
has been authorized to prescribe controlled substances, poisons, dangerous
drugs and devices;
(4) A physician
assistant who:
(I) Holds a license issued by
the Board of Medical Examiners; and
(II) Is authorized by the Board of Medical
Examiners to possess, administer, prescribe or dispense controlled substances,
poisons, dangerous drugs or devices under the supervision of a physician as
required by chapter 630 of NRS;
(5) A physician assistant who:
(I) Holds a license issued by the State Board
of Osteopathic Medicine; and
(II)
Is authorized by the State Board of Osteopathic Medicine to possess,
administer, prescribe or dispense controlled substances, poisons, dangerous
drugs or devices under the supervision of an osteopathic physician as required
by chapter 633 of NRS; or
(6) An optometrist who is certified by the
Nevada State Board of Optometry to prescribe and administer pharmaceutical
agents pursuant to NRS 636.288, when the
optometrist prescribes or administers pharmaceutical agents within the scope of
his or her certification.
(b) "Provider of health care" means:
(1) A physician licensed pursuant to chapter
630, 630A or 633 of NRS;
(2) A
dentist licensed pursuant to chapter 631 of NRS;
(3) A registered nurse licensed pursuant to
chapter 632 of NRS;
(4) An advanced
practice registered nurse certified pursuant to chapter 632 of NRS;
or
(5) A physician assistant
licensed pursuant to chapter 630 or 633 of NRS.
Notes
NRS 435.333
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