Nev. Admin. Code § 435.675 - Administration of medication

Current through March 28, 2022

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;
(4) Any extended release medication which must be crushed, cut or otherwise altered before the administration of the medication; or
(5) Any nutrition or medication which is prescribed by a provider of health care or a person authorized to prescribe medication to be administered enterally; 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) "Direct support staff" means any member of the staff of a provider of supported living arrangement services who works directly with a person with an intellectual disability or a person with a developmental disability to provide supported living arrangement services.
(b) "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 therapeutic pharmaceutical agents pursuant to NRS 636.288, when the optometrist prescribes or administers therapeutic pharmaceutical agents within the scope of his or her certification.
(c) "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

Nev. Admin. Code § 435.675
[Men. Hygiene & Men. Retardation Div., Residences § 37, eff. 2-5-82]-(NAC A by Div. of Men. Health & Dev. Services by R071-06, 11-13-2006); A by R144-16AP, eff. 5/16/2018
NRS 435.333

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