Authority: IC 12-21-2-3

Affected: IC 12-22-2

Sec. 9. (a) Agencies having residential living facilities shall establish and enforce written policies and procedures for the self-administration and monitoring of medication for residents.

(b) The written medication policies shall include the following:

1. (1) How the goal of self-medication for residents is to be achieved.

2. (2) For residents who are totally self-medicating, the agency must have a procedure for:

   1. (A) monitoring the resident's use of medication;
   2. (B) ensuring adequate supplies; and
   3. (C) providing safe storage of medication.

3. (3) When assistance is required by the resident:

   1. (A) how residents who need assistance with medication will receive it;
   2. (B) how the agency will store medications for the residents; and
   3. (C) how the agency will dispose of medications no longer needed or remaining after any expiration date.
4. (4) How monitoring will be implemented.
5. (5) What documentation is required regarding medication.

(c) The policies and procedures established in this section shall be:

1. (1) developed in consultation with a nurse, pharmacist, or physician; and
2. (2) approved by the agency.

(d) Each residential facility shall administer or monitor prescription medications with the direction of a physician. Nonprescription drugs as needed may be used by an adult resident unless the resident's physician specifies otherwise.

(e) Only staff who are authorized to administer medication under state law and in accordance with the requirements of the accrediting body may administer medication.

(f) The facility shall train all staff and householders about the following:

1. (1) Medications used by their residents.
2. (2) The purposes and functions of the medications.
3. (3) Major side effects and contraindications.

4. (4) Recognition of signs that medication is:

   1. (A) not being taken;
   2. (B) being misused; or
   3. (C) ineffective.

(Division of Mental Health and Addiction; 440 IAC 7.5-2-9; filed Jun 10, 2002, 2:25 p.m.: 25 IR 3133; readopted filed Nov 5, 2008, 3:50 p.m.: 20081119-IR-440080742RFA; readopted filed Jul 21, 2011, 9:39 a.m.: 20110817-IR-440110249RFA; readopted filed Jun 19, 2017, 10:11 a.m.: 20170719-IR-440170221RFA; readopted filed May 10, 2023, 2:25 p.m.: 20230607-IR- 440230142RFA)