California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 3 - Basic Services › Section 79215 - Medication Management

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The CDRH shall, with the assistance of a pharmacist, develop policies and
				  procedures governing the management of medications for patients. Policies and
				  procedures shall be approved by the medical director and the governing body and
				  shall be implemented by the CDRH staff.
(b) All drugs which the CDRH staff
				  administers or the patient self-administers shall be upon the order of a person
				  lawfully authorized by that person's respective practice act to give such an
				  order and shall be with the approval of the medical director, or in the absence
				  of the medical director, the alternate physician. There shall be
				  self-administration by patients only when the order so specifies and upon the
				  approval of the medical director or in the absence of the medical director, the
				  alternate physician.
(c)
				  Medications shall be administered as ordered.
(d) Medication shall not be kept at the
				  patient's bedside.
(e) Medications,
				  other than those for patients who have been approved for self-administration,
				  shall be stored in an orderly fashion in lockable cabinets or drawers
				  accessible only to staff personnel lawfully authorized to administer medication
				  by their respective practice act.
(f) Medications for patients who have been
				  approved for self-administration shall be stored separately from all other
				  medications. They shall be stored in an orderly fashion in lockable cabinets or
				  drawers accessible only to staff personnel lawfully authorized to administer
				  medication by their respective practice act or by other professional staff
				  members who have been so designated in writing by the medical director, or in
				  the absence of the medical director, the alternate physician.
(g) Professional staff members may assist
				  patients in the self-administration of their own medications. Professional
				  staff assistance in the self-administration of medication, by other than
				  persons who are lawfully authorized by their respective practice act to
				  administer medication, shall be limited to the following:
(1) Removing the container in which the
				  patient's medications are stored from the lockable cabinet or drawer.
(2) Handing the container, in which the
				  patient's medications are stored, to the patient.
(3) Observing the patient self-administer his
				  or her medication.
(4) Immediately
				  reporting to a registered nurse, licensed vocational nurse, physician or the
				  medical director any unusual signs, symptoms or actions on the part of the
				  patient that were observed.
(5)
				  Retrieving the container in which the patient's medications are stored and
				  returning the container to the lockable cabinet or drawer.
(6) As evidence that a medication has been
				  self-administered, the professional staff member assisting the patient in the
				  self-administration of the patient's medication shall record and sign, in the
				  patient's health record, the date and time the patient was observed
				  self-administering their medications.