Or. Admin. Code § 419-440-0180 - Foster Care Agencies: Medication
A foster care agency must comply with all of the following requirements:
(1) Policy and
procedures. The foster care 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 foster care agency and the proctor foster home parents 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.
(h) How
the foster care agency and the proctor foster home will ensure compliance with
OAR 413-070-0470 if it serves
children in Department custody.
(2) A prescription, signed by a physician or
qualified health 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, proctor foster home, or staff. As
used in this rule "self administration of medication" refers to the act of a
resident placing a medication internally in, or externally on, their own
body.
(3) A written order, signed
by a physician or qualified health professional, is required for any medical
treatment, special diet, physical therapy, aid to physical functioning, or
limitation of activity.
(4) Before
a foster care agency permits a child in care to self-administer prescription
medication, self-administration must be recommended by the foster care agency,
approved in writing by a physician, and closely monitored by the proctor foster
home parent or the staff of the foster care agency.
(5) Medication storage.
(a) Prescription medications that are unused
and medication that is outdated or recalled may not be maintained in a proctor
foster home. "Outdated" means any medication whose designated period of
potency, as indicated on the label, has expired.
(b) The proctor foster home may maintain a
stock supply of non-prescription medications.
(c) All prescription and non-prescription
medications stored in the proctor foster home must be kept in a manner that
they are inaccessible to children in care.
(d) Medications requiring refrigeration must
be refrigerated and secured.
(e)
Medications must be maintained and stored in its 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
person 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 is 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 possible adverse reactions to the
medication.
(i) Documentation of
any medication taken out of the proctor foster home by a child in care during a
home visit or other activity.
(9) Where applicable, the foster care agency
must maintain documentation of the continuing evaluation of the ability of the
child in care 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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