Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 450. Department of Mental Health and Substance Abuse Services |
Chapter 55. Standards and Criteria for Programs of Assertive Community Treatment |
Subchapter 5. Pact Clinical Documentation |
SECTION 450:55-5-10. Medication record
Latest version.
- (a) The PACT shall maintain a medication record on all consumers who receive medications or prescriptions in order to provide a concise and accurate record of the medications the consumer is receiving or having prescribed.(b) The consumer record shall contain a medication record with information on all medications ordered or prescribed by physician staff which shall include, but not be limited to:(1) Name of medication;(2) Dosage;(3) Frequency of administration or prescribed change;(4) Route of administration;(5) Staff member who administered or dispensed each dose, or prescribing physician; and(6) A record of pertinent information regarding adverse reactions to drugs, drug allergies, or sensitivities shall be updated when required by virtue of new information, and kept in a highly visible location in and on the outside of the chart.(c) Compliance with 450:55-5-10 shall be determined by a review of medication records in clinical records and a review of clinical records.