The following guidelines shall be followed in policies on administration of medications in residential programs:

1. (1) Medications prescribed for one individual may not be administered to or self-administered by another individual or program staff.
2. (2) When an individual self-administers medication in a residential program, self-administration shall be approved in writing by a physician and closely monitored by the residential program staff.
3. (3) No unused, outdated, or recalled drugs shall be kept in a program. On a monthly basis any unused, outdated, or recalled drugs shall be disposed of in a manner that assures they cannot be retrieved.

4. (4) A written record of all disposal of prescription drugs in a residential program shall be maintained in the program and shall include:

   1. (a) A description of the drug, including the amount;
   2. (b) The individual for whom the medication was prescribed;
   3. (c) The reason for disposal; and
   4. (d) The method of disposal.
5. (5) All prescription drugs stored in the residential program shall be kept in a locked stationary container. Medications requiring refrigeration shall be stored in a refrigerator using a locked container.

6. (6) Written documentation of medications prescribed for the individual by an LMP shall be maintained in the Service Record. Documentation for each medication prescribed shall include the following:

   1. (a) A copy or detailed written description of the signed prescription order;
   2. (b) The name of the medication prescribed;
   3. (c) The prescribed dosage and method of administration;
   4. (d) The date medications were prescribed, reviewed, or renewed;
   5. (e) The date and the signature and credentials of program staff administering or prescribing medications;
   6. (f) Observed side effects including laboratory findings; and
   7. (g) Medication allergies and adverse reaction.

Statutory/Other Authority

ORS 413.042, 428.205 - 428.270, 430.640 & 443.450

Statutes/Other Implemented

ORS 430.010, 430.205 - 430.210, 430.254 - 430.640, 430.850 - 430.955, 443.400 - 443.460, 443.991, 461.549 & 743A.168

History

MHS 4-2018, amend filed 02/27/2018, effective 03/01/2018
MHS 10-2017(Temp), f. 9-15-17, cert. ef. 9-15-17 thru 3-13-18
MHS 3-2014, f. & cert. ef. 2-3-14
MHS 10-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14