- (1) All prescription and OTC medications shall be administered by licensed nursing staff when they are on duty.
- (2) Medication delivery, including the security and control of the medications shall be the sole responsibility of the licensed nursing staff during the administration of the medications and shall be delivered in a secure environment for the protection of the nurse or staff providing the medications.
- (3) A prescription medication shall not be removed from its original prescription package and placed in another container until the time of medication administration for each youth.
- (4) The same staff member shall prepare and administer/deliver the medications.
- (5) The Five Rights of Medication Administration shall be verified during every medication delivery.
- (6) Documentation of each individual dosage of medication administered to youth shall be maintained on the youth’s Medication Administration Record (MAR). The Medication Administration Record (HS 019, October 2006) is incorporated into this rule and is available electronically at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-03822%20" http://www.flrules.org/Gateway/reference.asp?No=Ref-03822. The facility may utilize their Pharmacy vendor pre-printed Medication Administration Record if the form includes all information required on the Medication Administration Record that is incorporated by reference into Chapter 63M-2, F.A.C.
- (7) A separate MAR form shall be used for each month. The previous months’ MARs shall be filed in the youth’s Individual Health Care Record.
- (8) The youth’s allergy and medical alert status shall be verified during every medication delivery.
- (9) Prescription medication expiration dates shall be examined during each medication delivery. Outdated medications shall not be administered to a youth.
- (10) The youth’s photograph shall be attached or adjacent to the current MAR and visible for medication administration.
- (11) Each medication shall be listed once on each MAR page, utilizing as many MAR pages as necessary to list all of the prescribed medications.
- (12) Prescription medications and directions for use shall be documented on the MAR exactly as on the prescription container.
- (13) The licensed nurse shall be responsible for monitoring the medication delivery and reporting any discrepancies to the Superintendent or Program Director and DHA or physician designee.
Rulemaking Authority 985.64(2) FS. Law Implemented 985.64(2), 985.145, 985.18 FS. History–New 3-16-14, Amended 2-5-25.