1. (a) Staff shall provide and discontinue medication exactly as prescribed.
2. (b) Prescription medication shall be administered only by nurses and other staff who are legally authorized to administer medication.
3. (c) Clients may self-administer medication under the supervision of staff who are trained as described in §148.603 of this title (relating to Training).
4. (d) Each dose of prescription and over-the-counter medication taken by the client shall be documented in the client's medication record.

5. (e) The medication record shall include:

   1. (1) the client's name;
   2. (2) drug allergies (or the absence of known allergies);
   3. (3) the name and dose of each medication;
   4. (4) the frequency and route of each medication;
   5. (5) the date and time of each dose; and
   6. (6) the signature of the staff person who administered or supervised each dose.
6. (f) The facility shall document the circumstances and reason for any missed doses.

7. (g) When a client appears to have an adverse reaction to medication, a staff member shall:

   1. (1) notify the prescribing professional or another physician, dentist, podiatrist, physician assistant or nurse practitioner (preferably the prescribing professional);
   2. (2) complete an incident report; and
   3. (3) document the facts in the client record, including the date and time of notification and any other action taken.

Source Note:The provisions of this §564.1004 adopted to be effective September 1, 2004, 29 TexReg 2020; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842; transferred effective April 30, 2024, as published in the Texas Register April 5, 2024, 49 TexReg 2197.