Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 100.1 - ADULT RESIDENTIAL CARE HOMES › Subchapter 2 - TYPE I ARCH › Section 11-100.1-15 - Medications

Current through June, 2024
(a) All medicines prescribed by physicians
				  and dispensed by pharmacists shall be deemed properly labeled so long as no
				  changes to the label have been made by the licensee, primary care giver or any
				  ARCH/Expanded ARCH staff, and pills/medications are not removed from the
				  original labeled container, other than for administration of medications. The
				  storage shall be in a staff controlled work cabinet-counter apart from either
				  resident's bathrooms or bedrooms.
(b) Drugs shall be stored under proper
				  conditions of sanitation, temperature, light, moisture, ventilation,
				  segregation, and security. Medications that require storage in a refrigerator
				  shall be properly labeled and kept in a separate locked container.
(c) Separate compartments shall be provided
				  for each resident's medication and they shall be segregated according to
				  external or internal use.
(d)
				  Appropriate liquid medicine measuring devices shall be available and in use
				  when liquid medicine is made available.
(e) All medications and supplements, such as
				  vitamins, minerals, and formulas, shall be made available as ordered by a
				  physician or APRN.
(f) Medications
				  made available to residents shall be recorded on a flowsheet. The flowsheet
				  shall contain the resident's name, name of the medication, frequency, time,
				  date and by whom the medication was made available to the resident.
(g) All medication orders shall be
				  reevaluated and signed by the physician or APRN every four months or as ordered
				  by the physician or APRN, not to exceed one year.
(h) All telephone and verbal orders for
				  medication shall be recorded immediately on the physician's order sheet and
				  written confirmation shall be obtained at the next physicians visit and not
				  later than four months from the date of the verbal order for the
				  medication.
(i) Only trained staff
				  shall be allowed to make prescribed medications available to
				  residents.
(j) Medication shall be
				  offered only to the resident for whom it is ordered.
(k) Medication errors and drug reactions
				  shall be reported immediately to the physician or APRN responsible for the
				  medical care of the client and shall document observations and action taken in
				  the resident's record.
(l) There
				  shall be an acceptable procedure to separately secure medication or dispose of
				  discontinued medications.
(m) All
				  medications and supplements, such as vitamins, minerals, and formulas, when
				  taken by the resident, shall be recorded on the resident's medication record,
				  with date, time, name of drug, and dosage initialed by the care
				  giver.
(n) Self administration of
				  medication shall be 'permitted when it is determined to be a safe practice by
				  the resident, family, legal guardian, surrogate or case manager and primary
				  care giver and authorized by the physician or APRN. Written procedures shall be
				  available for storage, monitoring and documentation.