Utah Admin. Code R432-270-19 - Medication Administration
(1) A licensed
health care professional shall assess each resident to determine what level and
type of assistance is required for medication administration. The health care
professional shall document the level and type of assistance the health care
professional provides in each resident's assessment.
(2) The licensee shall ensure each resident's
medication program is administered by one of the methods described Subsections
R432-270-19(2) through
(9).
(3) A resident assessed to be able to
self-administer medication may keep prescription medications in their
room.
(4) If more than one resident
resides in a unit, the licensee shall ensure each person's ability is assessed
to safely have medications in the unit. If safety is a factor, the licensee
shall ensure a resident stores their medication in a locked container in the
unit.
(5)
(a) A resident may be assessed to be able to
self-direct medication administration.
(b) Facility staff may assist a resident
assessed to self-direct medication by:
(i)
reminding the resident to take the medication;
(ii) opening medication containers;
and
(iii) reminding the resident or
the resident's responsible person when the prescription needs to be
refilled.
(6)
(a) A resident may be assessed to allow
family members or a designated responsible person to administer
medications.
(b) If a family member
or designated responsible person assists with medication administration, the
licensee shall ensure they sign a waiver indicating that they agree to assume
the responsibility to fill prescriptions, administer medication, and document
that the medication has been administered.
(c) Facility staff may not serve as the
designated responsible person.
(7)
(a) A
resident may be assessed as unable to self-administer or self-direct
medications.
(b) Facility staff may
administer medications only after delegation by a licensed health care
professional under the scope of their practice.
(c) If a licensed health care professional
delegates the task of medication administration to unlicensed assistive
personnel, the licensee shall ensure the delegation is in accordance with Title
58, Chapter 31b, Nurse Practice Act and Section
R156-31B-701.
(d) The licensee shall ensure medications are
administered according to the prescribing order.
(e) The delegating authority shall provide
and document supervision, evaluation, and training of unlicensed assistive
personnel assisting with medication administration.
(f) The delegating authority or another
registered nurse shall be readily available either in person or by
telecommunication.
(8) A
resident may independently administer their own personal injections if they
have been assessed to be independent in that process. This may be done in
conjunction with the administration of medication in methods Subsections
R432-270-19(3) through
(6).
(9) Home health or hospice agency staff may
provide medication administration to facility residents exclusively, or in
conjunction with Subsections
R432-270-19(2) through
(9).
(10) The licensee shall ensure a licensed
health care professional or licensed pharmacist reviews resident medications at
least every six months.
(11) The
licensee shall ensure that medication records include the following:
(a) the resident's name;
(b) the name of the prescribing
practitioner;
(c) medication name
including prescribed dosage;
(d)
the time, dose, and dates administered;
(e) the method of administration;
(f) signatures of personnel administering the
medication; and
(g) the review
date.
(12)
(a) The licensee shall ensure that a licensed
health care professional or licensed pharmacist documents any change in the
dosage or schedule of medication in the medication record.
(b) When the facility staff documents changes
in the medication, the licensed health care professional shall co-sign within
72 hours.
(c) The licensee shall
ensure that the licensed health care professional notifies unlicensed assistive
personnel who administer medications of the medication
change.
(13) The licensee
shall have access to a reference for possible reactions and precautions for
prescribed medications in the facility.
(14) The licensee shall ensure the licensed
health care professional is notified when medication errors occur.
(15) The licensee shall ensure that
medication error incident reports are completed if a medication error occurs or
is identified.
(16) The licensee
shall incorporate medication errors into the facility quality improvement
process.
(17) The licensee shall
ensure that medications stored in a central storage area are:
(a) locked to prevent unauthorized access;
and
(b) available for the resident
to have timely access to the medication.
(18) The licensee shall ensure medications
that require refrigeration are stored separately from food items and at
temperatures between 36 - 46 degrees Fahrenheit.
(19) The licensee shall ensure policies
governing the following are developed and implemented:
(a) security and disposal of controlled
substances by the licensee or facility staff that are consistent with the Code
of Federal Regulations, Title 21, Chapter II, Part 1307; and
(b) destruction and disposal of unused,
outdated, or recalled medications.
(20) The licensee shall ensure the return of
resident's medication to the resident or to the resident's responsible person
is documented upon discharge.
Notes
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