(1) When supervising the self-administration
of medication, the facility must consider the service recipient's
self-management skills and ability.
(2) The facility must ensure that
prescription medications are taken only by service recipients for whom they are
prescribed and in accordance with the directions of a physician.
(3) Discontinued and outdated medication and
containers with worn, illegible, or missing labels must be disposed.
(4) All medication errors, medication
reactions, or suspected inappropriate medication use must be reported to the
Medical Director of the facility who will report to the prescriber, if
(5) Evidence of the current
prescription of each medication taken by a service recipient must be maintained
by the facility.
(6) All direct
service staff must be trained about medications used by the service recipient.
This training must include information about the purpose and function of the
medications, their major side effects and contraindications, and ways to
recognize signs that medication is not being taken or is ineffective.
(7) Staff must have access to medications at
(8) For any service
recipient incapable of self-administration, all medications must be
administered by personnel licensed to administer medication.
(9) Schedule II medications must be stored
within two (2) separately locked compartments at all times and be accessible
only to staff in charge of administering medication.
(10) All medications and other medical
preparations intended for internal or external human use must be stored in
sanitary and secure medicine cabinets or medication rooms. Such cabinet or
medication rooms must be kept securely locked when not in use and the key must
be in the possession of the supervising nurse or other authorized staff. Locks
in doors to medicine cabinets and medication rooms must require an action on
the part of staff to lock and unlock.
(11) Staff must document each time a service
recipient self-administers medication or refuses a medication. This
documentation must include the date, time, medication name, and dosage , as
well as over the counter medication. This documentation must be made on the
medication log sheet in the service recipient's chart.
Tenn. Comp. R. &
Original rule filed July
27, 2000; effective October 10, 2000. Amendment filed April 11, 2003; effective
June 25, 2003. Per Executive Order 44 (February 23, 2007), rule was transferred
from 1200-8-22 on May 15, 2008. Repeal and new rule filed July 31, 2008;
effective October 14, 2008.
Authority: T.C.A. §§
33-1-309, 33-2-301, 33-2-302,
33-2-404, and Executive Order 44 (February 23, 2007).