Okla. Admin. Code § 377:3-13-138.3

Current through Vol. 42, No. 8, January 2, 2025

Section 377:3-13-138.3 - Administration of medications

(a) Any medication administered to juveniles shall conform to the Medication Administration Recording System (MARS) standard for record keeping.

(b) Medications shall be administered only by the physician, registered nurse, or other staff who have received approved training in administration of medications.

(c) When prescription medications are used, the juvenile, parent/guardian/ custodian, and appropriate staff members shall be made aware of the side effects of the medication and proof of said notification shall be maintained in writing.

(d) Rules regarding administration of drugs shall not preclude the use, with informed consent, of drugs which are capable of relieving specifically identified psychiatric symptoms. If used, the individual plan of treatment must state the specific benefits expected for specific symptoms or complaints and must document observed benefits or other effects no less than monthly.

(e) Psychotropic medication(s) administered to juveniles shall comply with applicable laws and regulations of the jurisdiction.

(f) Medications such as stimulants, tranquilizers, or psychotropics shall be administered only as a part of a program of medically approved therapy. The administration of such drugs shall be periodically monitored by a licensed psychiatrist according to accepted medical standards.

(g) Telephone orders between a psychiatrist and a requesting nurse shall only occur when the nurse has had prior involvement in the case and the administration of any drugs and when the nurse has personal knowledge of the patient's medical needs. Telephone orders and the patient will be reviewed by a physician or psychiatrist within 48 hours of administration.

(h) When a juvenile is confined to medical isolation or the unit for medical reasons, the designated staff shall bring medications to be administered to the juvenile at that location.

(i) When a juvenile is placed in another setting, including community placement, another secure facility, or a contract facility, the designated staff member shall send a three-day supply of the juvenile's prescribed medications with the juvenile.

Okla. Admin. Code § 377:3-13-138.3

Adopted by Oklahoma Register, Volume 32, Issue 24, September 1, 2015, eff. 9/11/2015