26 Tex. Admin. Code § 550.705 - Administration of Medication
(a) A center
must adopt and enforce written policies and procedures for the administration
of medication to a minor. The policies and procedures must address:
(1) removing an individual dose from a
previously dispensed, properly labeled container;
(2) verifying the medication with the
prescriber's orders;
(3) verifying
the order with the correct minor;
(4) giving the correct medication dose to a
minor;
(5) giving the medication by
the correct route;
(6) observing
that the medication is taken;
(7)
recording the required information, including the method of administration;
and
(8) documenting any medication
not administered and the reason.
(b) A center's written policy must ensure
compliance with:
(1) THSC Chapter
248A;
(2) this chapter;
(3) state law authorizing a person licensed
under the Texas Occupations Code to administer medications;
(4) rules adopted by the Texas Board of
Nursing 22 Texas Administrative Code Chapter 224 (relating to Delegation of
Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel for
Clients with Acute Conditions or in Acute Care Environments) governing when an
RN may delegate the administration of medication to an unlicensed person;
and
(5) any other applicable state
and federal regulations relating to the administration of medication to a
minor.
(c) If there is a
direct conflict between this chapter and other applicable state and federal
laws and regulations, a center must comply with the more stringent
requirements.
(d) The
administration of medication by center staff must be included in a minor's plan
of care.
(e) A center must adopt
and enforce written policies and procedures for maintaining a current
medication list and a current medication administration record.
(f) A center's written policy must require
center staff who supervise, assign, or delegate the administration of
medication or administer medication to a minor to maintain a current medication
list in the minor's medical record.
(g) A center may incorporate a current
medication list and medication administration record into one
document.
(h) An RN must review the
medication list initially after a minor is admitted and update the list when
necessary but at least every 90 days.
(i) An RN must report significant findings
from a review of the medication list to the minor's prescribing
physician.
(j) Review of the
medication list includes evaluation of prescription and over-the-counter drugs,
medication orders, and the medication list for:
(1) known allergies;
(2) rational drug
therapy-contraindication;
(3)
reasonable dose and route of administration;
(4) reasonable directions for use;
(5) duplication of drug therapy;
(6) drug-drug interaction;
(7) drug-food interaction;
(8) drug-disease interaction;
(9) adverse drug reaction; and
(10) proper use, including overuse or
underuse.
(k) A center
must adopt and enforce written policies and procedures on medication errors.
The policy must ensure that the nursing director, a minor's prescribing
physician and the minor's parent are notified immediately after the discovery
of a medication error or an adverse reaction.
Notes
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