175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications

What this rule requires your agency to do

• 1When patients self-administer medications, the agency must first determine the patient is competent and capable, and must develop and implement policies addressing storage/handling, inclusion in the plan of care, and monitoring for continued safe administration (14-006.09A1).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)
• 2The agency must have policies specifying how direction and monitoring occur for the routine and additional medication activities authorized by 172 NAC 95, how competency determinations and written direction are provided, and how medication-provision records are recorded and maintained (14-006.09A3(3)-(8)).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)
• 3When using a licensed health care professional for whom medication administration is within scope of practice, the agency must ensure medications are properly administered per prevailing professional standards (14-006.09A2).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)
• 4The agency must establish and implement policies and procedures to ensure patients receive medications only as legally prescribed by a medical practitioner in accordance with the five rights and prevailing professional standards (14-006.09).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)
• 5The agency must have a policy for the disposal of controlled drugs maintained in the patient's home when no longer needed, and when not responsible for medication administration must still maintain responsibility for overall supervision, safety, and welfare of the patient (14-006.09A3(9)-(10)).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)
• 6The agency must have policies to report any adverse reaction to a medication immediately upon discovery to the patient's licensed practitioner and document the event in the patient's medical record, and must have policies for staff authorized to receive telephone/verbal diagnostic, therapeutic, and medication orders (14-006.09C, 14-006.09D).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)
• 7When using a person other than a licensed health care professional to provide medications, the agency must follow 172 NAC 95 and 96 and ensure medication aides/unlicensed persons are trained and have demonstrated the minimum competency standards in 172 NAC 95-004 (14-006.09A3(1)).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)
• 8The agency must have and implement policies to report any errors in administration or provision of prescribed medications (any variance from the five rights) to the patient's licensed practitioner in a timely manner upon discovery, with a written report prepared (14-006.09B).(175 NAC 14-006.09 — Standards of Operation, Care, and Treatment: Administration or Provision of Medications)