(1) Medications must be ordered by qualified
(2) All medication
must be administered by Tennessee licensed medical or nursing personnel or by
other qualified personnel as allowed by Tennessee law and in accordance with
the medical protocol of the facility/program.
(3) "Oral" or "Telephone" orders may be
issued by the qualified prescriber. These orders must be taken by a licensed
nurse or physician assistant, qualified by training and experience, and
categorically approved by the medical staff of the facility/program. Upon
hearing the order, the receiver shall record the order in the service
recipient's record, and then shall read back the written order to the issuing
professional to assure that the order is understood clearly. "Oral" and
"Telephone" orders must be documented as such and staff recording must sign
their name and title. "Oral" and "Telephone" orders must be countersigned by
the qualified prescriber no later than seventy-two (72) hours.
(4) Legend drugs must be dispensed only by a
medication errors, drug reactions and suspected drug overmedication must be
documented and reported to the practitioner who prescribed the drugs.
Tenn. Comp. R. &
Original rule filed May
26, 1988; effective July 11, 1988. Amendment filed September 4, 2003; effective
November 18, 2003. Amendments filed July 31, 2008; effective October 14,
Authority: T.C.A. §§
4-5-202, 4-5-204, 33-1-302,
33-1-305, 33-1-309, 33-2-301, 33-2-302 and 33-2-404.