Or. Admin. Code § 419-430-0090 - Day Treatment Agencies: Medication
A day treatment agency must comply with all of the following requirements:
(1) Policy and
procedures. The day treatment agency must have policies and procedures that
cover prescriptions, herbal remedies, and all non-prescription medications that
address all of the following:
(a) How the
medication will be administered.
(b) By whom the medication will be
administered.
(c) How the staff of
the day treatment agency who administer medication will be trained.
(d) How the administration of medication will
be documented.
(e) How the
administration of medication will be monitored.
(f) How unused medication will be disposed
of.
(g) The process that ensures
that each child in care's prescription and non-prescription medications are
reviewed, unless the medications are all provided through a single pharmacy. As
used in this rule, "non prescription medication" means any medication that does
not require a written prescription for purchase or dispensing.
(2) A prescription, signed by a
physician or other qualified medical professional, is required before any
prescription medication is administered to, or self-administered by a child in
care. Medications prescribed for one child in care may not be administered to,
or self-administered by another child in care or staff. As used in this rule
"self-administration" refers to the act of a resident placing a medication
internally in, or externally on, his or her own body.
(3) A written order, signed by a physician or
other qualified medical professional, is required for any medical treatment,
special diet, physical therapy, aid to physical functioning, or limitation of
activity.
(4) Before a day
treatment agency permits a child in care to self-administer prescription
medication, self-administration must be recommended by the day treatment
agency, approved in writing by a physician, and closely monitored by the child
in care's guardian or the staff of the day treatment agency.
(5) Medication storage.
(a) Prescription medications that are unused
and any medications that are outdated or recalled may not be maintained in the
facility. "Outdated" means any medication whose designated period of potency,
as indicated on the label, has expired.
(b) The facility may maintain a stock supply
of non-prescription medications.
(c) All prescription and non-prescription
medications must be contained in locked storage in the facility and must be
kept in a manner that makes them inaccessible to children.
(d) Medications requiring refrigeration must
be refrigerated and secured.
(e)
Medications must be maintained and stored in their original container,
including the prescription label.
(6) Medication disposal. Medications must be
disposed of in a manner that ensures that they cannot be retrieved, in
accordance with all applicable state and federal law.
(7) A written record of all medication
disposals must be maintained and must include all of the following:
(a) A description of the prescribed
medication and the amount disposed.
(b) The child in care for whom the medication
was prescribed.
(c) The reason for
disposal.
(d) The method of
disposal.
(e) The name of the adult
disposing the medication, and the initials of an adult witness.
(8) Medication records. A written
record must be kept for each child in care listing all medications, both
prescription and over-the-counter, that are administered. The record must
include all of the following:
(a) The name of
the child in care.
(b) A
description of the medication, instructions for use, and the recommended
dosage.
(c) Dates and times
medication is administered.
(d) A
record of missed dosages.
(e)
Medication dropped or disposed of.
(f) Method of administration for each
medication.
(g) Identification of
person administering the medication.
(h) Any adverse reactions to the
medication.
(i) Documentation of
any medication taken outside the facility by a child in care during a home
visit or other activity.
(9) Where applicable, the day treatment
agency must maintain documentation of the continuing evaluation of the child's
ability to self-administer a medication.
Notes
Statutory/Other Authority: ORS 409.050, ORS 418.240 & ORS 418.005
Statutes/Other Implemented: ORS 418.205 - 418.325
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