1. (1) When a resident who is receiving medication administration services from the enhanced services facility chooses to not take his or her medications, the enhanced services facility must:

   1. (a) Respect the resident's right to choose not to take medication;
   2. (b) Document the time, date and medication the resident did not take in the resident's medical record;

   3. (c) Notify the physician of the refusal and follow any instructions provided, unless there is a staff person available who, acting within his or her scope of practice, is able to evaluate the significance of the resident not getting his or her medication, and such staff person;

      1. (i) Conducts an evaluation; and
      2. (ii) Takes the appropriate action, including notifying the prescriber or primary care practitioner when there is a consistent pattern of the resident choosing to not take his or her medications.

2. (2) The enhanced services facility must comply with subsection (1) of this section, unless the prescriber or primary care practitioner has provided the enhanced services facility with:

   1. (a) Specific directions for addressing the refusal of the identified medication;
   2. (b) The enhanced services facility documents such directions; and
   3. (c) The enhanced facility is able to fully comply with such directions.

[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0350, filed 9/12/14, effective 10/13/14.]