Administration of drugs
 131. (1) Every licensee of a long-term care home shall ensure that no drug is used by or administered to a resident in the home unless the drug has been prescribed for the resident.  O. Reg. 79/10, s. 131 (1). (2) The licensee shall ensure that drugs are administered to residents in accordance with the directions for use specified by the prescriber.  O. Reg. 79/10, s. 131 (2). (3) Subject to subsections (4), (4.1) and (5), the licensee shall ensure that no person administers a drug to a resident in the home unless that person is a physician, dentist, registered nurse or a registered practical nurse. O. Reg. 79/10, s. 131 (3); O. Reg. 218/13, s. 1 (1). (4) A member of the registered nursing staff may permit a staff member who is not otherwise permitted to administer a drug to a resident to administer a topical, if, (a) the staff member has been trained by a member of the registered nursing staff in the administration of topicals; (b) the member of the registered nursing staff who is permitting the administration is satisfied that the staff member can safely administer the topical; and (c) the staff member who administers the topical does so under the supervision of the member of the registered nursing staff.  O. Reg. 79/10, s. 131 (4). (4.1) A member of the registered nursing staff may permit a nursing student to administer drugs to residents if, (a) the licensee has verified with the university or college that offers the nursing educational program in which the nursing student is enrolled that the nursing student has received education or training about the administration of drugs as part of the program; (b) the nursing student has been trained by a member of the registered nursing staff in the written policies and protocols for the medication management system referred to in subsection 114 (2); (c) the member of the registered nursing staff who is permitting the administration is satisfied that the nursing student can safely administer drugs; and (d) the nursing student who administers the drugs does so under the supervision of the member of the registered nursing staff. O. Reg. 218/13, s. 1 (2). (5) The licensee shall ensure that no resident administers a drug to himself or herself unless the administration has been approved by the prescriber in consultation with the resident.  O. Reg. 79/10, s. 131 (5). (6) Where a resident of the home is permitted to administer a drug to himself or herself under subsection (5), the licensee shall ensure that there are written policies to ensure that the residents who do so understand, (a) the use of the drug; (b) the need for the drug; (c) the need for monitoring and documentation of the use of the drug; and (d) the necessity for safekeeping of the drug by the resident where the resident is permitted to keep the drug on his or her person or in his or her room under subsection (7).  O. Reg. 79/10, s. 131 (6). (7) The licensee shall ensure that no resident who is permitted to administer a drug to himself or herself under subsection (5) keeps the drug on his or her person or in his or her room except, (a) as authorized by a physician, registered nurse in the extended class or other prescriber who attends the resident; and (b) in accordance with any conditions that are imposed by the physician, the registered nurse in the extended class or other prescriber.  O. Reg. 79/10, s. 131 (7). (8) In this section, “dentist” means a member of the Royal College of Dental Surgeons of Ontario; (“dentiste”) “nursing student” means a person, (a) who is enrolled in an educational program, the successful completion of which meets the educational requirements for the issuance of a certificate of registration as a registered nurse or registered practical nurse as set out in the regulations made under the Nursing Act, 1991, and (b) who is working in the long-term care home as part of the clinical placement requirement of the educational program pursuant to an agreement between the licensee and the university or college that offers the educational program. (“étudiante infirmière ou étudiant infirmier”) O. Reg. 79/10, s. 131 (8); O. Reg. 218/13, s. 1 (3).