1. (a) A medication record shall be maintained on all consumers who receive medications or prescriptions through facility services and shall be a concise and accurate record of the medications the consumer is receiving or prescribed.

2. (b) The consumer record shall contain a medication record with the following information on all medications that are self-administered, administered, dispensed, or prescribed by licensed medical staff:

   1. (1) Type of medication;
   2. (2) Dosage;
   3. (3) Frequency of administration or prescribed change;
   4. (4) Route of administration; and
   5. (5) Staff member who administered, dispensed, or monitored self-administration of each dose, prescribing licensed medical staff when applicable, and consumer's signature when self-administered.
3. (c) A record of pertinent information regarding adverse reactions to drugs, drug allergies, or sensitivities during admission, updated when required by virtue of new information, and kept in a highly visible location in or on the record.
4. (d) Compliance with 450:18-7-144 may be determined by a review of policies and procedures, consumer records, progress notes, interviews with staff, and other facility documentation.

Added at 13 Ok Reg 2769, eff 7-1-96

Amended at 19 Ok Reg 2375, eff 7-1-02

Amended at 24 Ok Reg 2580, eff 7-12-07

Amended at 27 Ok Reg 2237, eff 7-11-10

Amended at 34 Ok Reg 1791, eff 10-1-17