Idaho Admin. Code r. 16.03.19.402

Current through September 2, 2024

Section 16.03.19.402 - ASSISTANCE WITH MEDICATION

The provider must offer assistance with medications to residents who need assistance. Prior to staff assisting residents with medication, the provider must ensure the following conditions are in place:

01.Condition of the Resident. The resident's health condition is stable.

02.Nursing Assessment. The resident's health status does not require nursing assessment before receiving the medication nor nursing assessment of the therapeutic or side effects after the medication is taken, unless the staff assisting with medications is a healthcare professional operating within the scope of their license.

03.Containers. The medication is in the original pharmacy-dispensed container with its proper label and directions or in an original over-the-counter container or in a Mediset, blister pack, or similar organizational system. When a Mediset, blister pack, or similar system is used, staff will comply with the following.

a. The system contains easily identifiable dates and times for medication dispensing;

b. The system is filled according to the schedule ordered by the resident's healthcare professional for each medication;

c. Unless filled by a pharmacy or a licensed nurse, the system is filled not more than seven (7) days prior to the scheduled medication dispensing date;

d. Staff only dispense the specific medication scheduled for dispensing and assist within twenty (20) minutes before or after the specified time;

e. The original medication container with its proper label is maintained in the home until the medication it contained is completely used or refused by the resident; and

f. Any medication scheduled for dispensing that the resident refuses or that is otherwise missed is immediately removed from the system and disposed of at the earliest opportunity under Subsection 402.07 of this rule.

04.Safeguarding Medications. Staff take adequate precautions to safeguard the medications of each resident for whom they provide assistance. Safeguarding consists of the following:

a. Storing each resident's medications in an area or container designated only for that particular resident including a label with the resident's name, except for medications that must be refrigerated or over-the-counter medications;

b. Keeping the designated area or container for the resident's medications under lock and key when either of the following apply:

i. The resident's medications include a controlled substance; or

ii. Any member of the household has drug-seeking behaviors.

c. Ensuring each resident's designated medication area or container is clean and kept free of contamination, including disposal of loose pills at the earliest opportunity under Subsection 402.07 of this rule;

d. Dispensing only one (1) resident's set of medications from its designated area or container at one (1) time to mitigate medication errors; and

e. On at least a monthly basis, the provider conducts and documents an inventory of narcotic medications and reconciles the actual amount on-hand with the expected amount on-hand. When a discrepancy occurs between the expected and actual amounts, the provider will:

i. Investigate the cause of the discrepancy; and

ii. Write a summary report of the investigation and keep the report in the resident's record.

05.Scope of Practice. Only a healthcare professional working within the scope of their license may administer medications or practice other nursing functions. Practice of such functions must comply with IDAPA 24.34.01, "Rules of the Idaho Board of Nursing."

06.Documentation of Assistance. Documentation of assistance with medications is maintained in the home. Such documentation:

a. Is logged concurrent with the time of assistance; and

b. Contains at least the following information:

i. The name of the resident receiving the medication;

ii. The name of the medication given;

iii. The dosage of the medication given; and

iv. The time and date the medication was given.

07.Disposal of Medication. Medication that has been discontinued as ordered by the resident's healthcare professional, has expired, or should otherwise be disposed of under this rule is disposed of by the provider within thirty (30) days of the order, expiration date, or as otherwise described in this rule. A written record of all disposal of drugs will be maintained in the home and include:

a. The name of the medication;

b. The amount of the medication, including the number of pills at each dosage, if applicable;

c. The name of the resident for whom the medication was prescribed;

d. The reason for disposal;

e. The date on which the medication was disposed;

f. The method of disposal; and

g. A signed statement from the provider and a credible witness confirming the disposal of the medication.

Idaho Admin. Code r. 16.03.19.402

Effective March 28, 2023