(1) Medications must be ordered by qualified prescribers.
(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 licensed pharmacist.
(5) All medication errors, drug reactions and suspected drug overmedication must be documented and reported to the practitioner who prescribed the drugs.


Tenn. Comp. R. & Regs. 0940-05-18-.07
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, 2008.

Authority: T.C.A. ยงยง 4-4-103, 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.

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