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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 310. Oklahoma State Department of Health |
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Chapter 663. Continuum of Care and Assisted Living |
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Subchapter 19. Administration, Records and Policies |
SECTION 310:663-19-2. Medication administration
Latest version.
- (a) Each assisted living center shall adopt written procedures to ensure safe administration of medications.(1) Medications shall be administered only on a physician's order.(2) The person responsible for administering medications shall personally prepare the dose, observe the swallowing of oral medication, and record the medication. Medications shall be prepared within one hour prior to administration.(3) An accurate written record of medications administered shall be maintained. The medication record shall include:(A) The identity and signature of the person administering the medication.(B) The medication administered within one hour of the scheduled time.(C) Medications administered as the resident's condition may require (p.r.n.) are recorded immediately, including the date, time, dose, medication, and administration method.(D) Adverse reactions or results.(E) Injection sites.(F) An individual inventory record shall be maintained for each Schedule II medication prescribed for a resident.(G) Medication error incident reports.(4) A resident's adverse reactions shall be reported at once to the attending physician.(b) An assisted living center may maintain nonprescription drugs for dispensing from a common or bulk supply if all of the following are accomplished.(1) The assisted living center shall have and follow a written policy and procedure to assure safety in dispensing and documenting medications given to each resident.(2) The assisted living center shall maintain records which document the name of the medication acquired, the acquisition date, the amount and the strength received for each medication maintained in bulk.(3) Only a licensed nurse, physician, pharmacist, certified medication aide or medication aide technician may dispense for administration these medications and only upon a physician's written order for as needed or nonscheduled dosage regimens. The physician's written order shall be maintained in the resident's clinical record.(4) Bulk medications shall be stored in the medication area and not in resident rooms.(5) The assisted living center shall maintain records of all bulk medications that are dispensed on an individual signed medication administration record.(6) The assisted living center shall maintain the original label on the container as it comes from the manufacturer or on the unit-of-use or blister package.(7) The assisted living center shall establish in its policy and procedure the maximum size of packaging and shall ensure that each resident receives the correct dosage. The assisted living center shall not acquire nor maintain a liquid medication in a package size that exceeds 16 fluid ounces.(8) An assisted living center shall have only oral analgesics, antacids, and laxatives for bulk dispensing. No other category of medication shall be maintained as bulk medication.(c) Antipsychotic drug administration shall be consistent with 63 O.S. § 1-881.