3823.1 Prior to the admission of each resident, the Residence Director shall obtain a record of each medication that the resident is currently taking, including identification of each prescribed controlled substance and a list of each known allergy.3823.2 Subsection 3823.1 shall not apply to Transitional Residence beds, as defined in §3838. However, the MHCRF shall compile a medication history within forty-eight hours (48 hrs.) of admission by contacting any known service providers.3823.3 Each medication record shall be kept in a manner that ensures it is not accessible to other residents or visitors.3823.4 The Residence Director shall ensure that each resident who has been certified, in writing, by a physician, as capable of self-administering his or her medication, is taking his or her medication as prescribed. Each certification shall be reviewed annually for appropriateness by the resident's physician.3823.5 If a resident is unable to administer his or her own medication, the Residence Director shall ensure that the medication is administered by a licensed nurse or physician.3823.6 The Residence Director shall keep each resident's medicines secure and separate from those of other residents, with proper identification and under proper conditions of light and temperature as indicated on the medicine's label.3823.7 Each medication of each resident shall be stored in its original container and shall not be transferred to another container or to another resident, and medication for external use shall be stored separately from medications for internal use.3823.8 Each residence shall comply with District and Federal laws and regulations governing the procurement, handling, storage, administering, recording, dispensing and disposal of medications and controlled substances.3823.9 Each dose of medication administered shall be properly and promptly recorded and initialed in the resident's record by the person who administers or supervises the medication.3823.10 Each medication error, reaction or adverse response to a medication shall be immediately reported to the resident's physician and documented in the resident's record as well as in an incident report.3823.11 Each resident's refusal of a medication shall be documented in his or her record and reported to the resident's physician in a manner that is consistent with sound nursing procedures and good medical practice.

3823.12 Each MHCRF shall remove and dispose properly of expired medication and medication that is no longer in use.

SOURCE: Final Rulemaking published at 42 DCR 569, 592 (January 27, 1995).