Section 0940-05-44-.09 - SERVICE RECIPIENT MEDICATION ADMINISTRATION REQUIREMENTS(1) Facilities providing medically monitored detoxification services must provide a licensed nurse to oversee medication administration twenty-four (24) hours per day.(2) When supervising the self-administration of medication, the facility must consider the service recipient's self-management skills and ability.(3) The facility must ensure that prescription medications are taken only by service recipients for whom they are prescribed and in accordance with the directions of a qualified prescriber.(4) Discontinued and outdated drugs and containers with worn, illegible, or missing labels must be disposed.(5) All medication errors, drug reactions, or suspected inappropriate medication use must be reported to the Medical Director of the facility who will report to the prescriber, if known.(6) Evidence of the current prescription of each medication taken by a service recipient must be maintained by the facility.(7) All direct service staff must be trained about medications used by the service recipient. This training must include information about the purpose and function of the medications, their major side effects and contraindications, and ways to recognize signs that medication is not being taken or is ineffective for its prescribed purposes.(8) Staff must have access to medications at all times.(9) For any service recipient incapable of self-administration, all medications must be administered by personnel licensed to administer medication.(10) Schedule II drugs must be stored in a locked container within a locked compartment at all times and be accessible only to staff in charge of administering medicine.(11) All medications and other medical preparations intended for internal or external human use must be stored in sanitary and secure medicine cabinets or drug rooms. Such cabinets or drug rooms must be kept securely locked when not in use and the key must be in the possession of the supervising nurse or other authorized staff. Locks in doors to medicine cabinets and drug rooms must be such that they require an action on the part of staff to lock and unlock.(12) For facilities providing clinically managed detoxification services, staff must document each time a service recipient self-administers medication or refuses a medication, including over-the-counter medication. This documentation must include the date, time, medication name, and dosage and be entered on the medication log sheet in the service recipient's record.(13) Before discharge, service recipients must be given instruction about dosages, appropriate use, and self-administration of medications after detoxification is complete and the service recipient leaves the residential detoxification facility.Tenn. Comp. R. & Regs. 0940-05-44-.09
Original rule filed April 27, 2000; effective July 11, 2000. Per Executive Order 44 (February 23, 2007), rule was transferred from 1200-8-23 on May 15, 2008. Repeal and new rule filed January 7, 2009; effective March 23, 2009.Authority: T.C.A. §§ 4-4-103, 4-5-202; 4-5-204; 33-1-302, 33-1-305, 33-1-309; and 33-2-301; 33-2-302;33-2-404; and Executive Order 44 (February 23, 2007).