Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards)

What this rule requires your agency to do

• 1The license holder is responsible for meeting the health service needs assigned in the support plan/addendum and must promptly notify the person's legal representative and case manager of changes in physical/mental health needs affecting assigned health services, documenting when notice is provided (subd. 1(a)).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))
• 2When responsible for medication administration, the license holder must review the medication administration record at least every three months to identify errors and develop/implement a plan to correct patterns of medication administration errors (subd. 4(a)).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))
• 3The license holder must report to the legal representative and case manager missed/refused doses, adverse reactions, and concerns about self-administration as they occur or as directed in the support plan (subd. 4(b)).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))
• 4Injectable medications may be administered only under one of the specified conditions (RN/LPN administers; supervising RN with physician's order has delegated and trained unlicensed staff; or a signed prescriber agreement), and only licensed health professionals may administer psychotropic medications by injection (subd. 5).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))
• 5Where responsibility is assigned, the license holder must maintain documentation of how health needs will be met, and unlicensed staff responsible for medication setup or administration must complete training under section 245D.09, subd. 4a(d) (subd. 1(b)).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))
• 6Before administering medication, the license holder must obtain written authorization from the person or legal representative (medication must not be administered if refused; refusal reported to the prescriber as expediently as possible) (subd. 2(b)(2)).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))
• 7The license holder must document specified information in the medication administration record (current prescription/order details, risks/side effects/contraindications, consequences of missed doses, error/adverse-reaction reporting instructions and notations, and start/change/discontinue dates) (subd. 2(c)).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))
• 8When responsible for medication setup, the license holder must document in the medication administration record the dates of setup, medication name, dose quantity, times to be administered, route of administration, and, when the person is away from home, to whom medications were given (subd. 1a(b)).(Minnesota Statutes 245D.05 — Health Services (HCBS Services Standards))