67 : 61 : 08 : 02 . Control, accountability, and storage of medications and controlled drugs. Each residential program must meet the following requirements for the control, accountability, and safe storage of medications and controlled drugs:

1. (1) Any client on medications for a substance use disorder, mental health issue, or a medical condition shall surrender all medications and controlled drugs, upon admission to the agency, and be educated about how to take the client's prescribed medication, while in the program;
2. (2) Each client shall receive a formal orientation to the program's medication policy and procedures upon admission;
3. (3) All medications and controlled drugs must be kept in a locked medication storage area that is inaccessible to all persons at all times, except as provided in subdivision 67:61:08:02(5), and §§ 67:61:08:08 and 67:61:08:10;
4. (4) All controlled drugs must be kept in a separate locked box or drawer within the medication storage area;
5. (5) Poisons, disinfectants, and medications prescribed for external use must be stored separately from each other and from internal medications, with each in a separate locked area that is inaccessible to clients and visitors;
6. (6) Biologicals and medications, requiring refrigeration or other storage requirements as identified by the manufacturer's labeling, must be stored separately, including during refrigeration, freezing, and protection from the light, in an area that is inaccessible to clients and visitors. If these biologicals and medications are stored in a refrigerator containing items other than the biologicals and medications, the biologicals and medications must be kept in a separate, secured compartment;
7. (7) Each client's prescription medications must be stored in the medication's originally received container and may not be transferred to another container;
8. (8) Any container with a worn, illegible, or missing label must be destroyed along with the medication or drugs in the container, in accordance with § 67:61:08:05;
9. (9) Only a licensed pharmacist may label, relabel, or alter labels on medication containers;
10. (10) Any medication or drug prescribed for one client may not be administered to another client;
11. (11) If a client brings his or her own medications or controlled drugs into the program, the client's medications or controlled drugs may not be administered unless the client can be identified and written orders for the administration of the medications or controlled drugs is received from a licensed physician;
12. (12) Each program must have a procedure for contacting the client's identified pharmacies and physicians, as soon as possible after each client is admitted to the program;
13. (13) If medications or controlled drugs brought by a client into the program are not used, the medications or controlled drugs must be packaged, sealed, stored, and returned to the client, parent if the client is under the age of eighteen, guardian if applicable, or significant other, at the time of discharge, if the return of the medications or controlled drugs is approved by a program physician. The return of the medications or controlled drugs must be documented in the client's case record, with the name, strength, and quantity of the medication or controlled drug, and signed by the staff member identified to manage client medication; and
14. (14) The telephone number of the regional poison control center, the local hospital, the medical director, and the program administrator must be posted in all medication and controlled drug storage and preparation areas.

Source: 43 SDR 80 , effective December 5, 2016; 50 SDR 63, effective November 27, 2023 .

General Authority: SDCL 1-36-25 , 34-20A-27 .

Law Implemented: SDCL 34-20A-27 .

Prior versions effective: 2016-12-05.