SECTION 377:10-13-62. Administration of medications

  Medications shall be administered only by the physician, registered nurse, or other staff who have received approved training in administration of medications. When a resident is confined to medical isolation or the cottage for medical reasons, the designated staff shall bring medications to be administered to the resident at that location.

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

(2)   Medications (mind altering drugs) 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. The use of medication for punishment, control, or program management shall be prohibited. 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.

(3)   Rules regarding administration of drugs shall not preclude the use, with informed consent (or if involuntary, with the same information provided as would be provided to consenting patients), 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.

[Source: Added at 15 Ok Reg 771, eff 10-2-97 (emergency); Added at 15 Ok Reg 2682, eff 7-1-98]