Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.031 - Youth Self-Administration of Oral Medication Assissted by Trained Non-Licensed Staff

Current through Reg. 50, No. 138; July 16, 2024
(1) Pursuant to Chapter 64B9-14, F.A.C.
				(Delegation to Unlicensed Assistive Personnel), a Registered Nurse may delegate
				non-licensed trained staff (the Unlicensed Assistive Personnel) to serve as
				assistant to the Registered Nurse or Licensed Practical Nurse with the youth's
				self-administration of medication(s).
(2) Non-licensed staff shall provide
				medications to youth for self-administration only when there is no licensed
				health care professional staff onsite.
(3) Each facility shall implement training of
				non-licensed staff members and validation of his or her ability to assist with
				the delivery, supervision, and oversight of the youth's self-administration of
				medication.
(4) Training of
				non-licensed staff to assist youth with self-administration of oral medications
				shall only be conducted by a Registered Nurse or higher licensure level. A
				Registered Nurse or higher licensure level shall determine the trained
				non-licensed staff member's competency.
(5) The Registered Nurse must supervise the
				trained staff member by periodically performing direct observation of skills,
				inspecting the Medication Administration Record(s) and the required
				documentation assigned to the staff member.
(6) The non-licensed staff member assisting
				youth with self-administration of medications shall not perform any additional
				facility duties during medication delivery.
(7) The non-licensed staff member shall
				assist youth with self-administration of medication within one hour of the
				scheduled time of the ordered medication.
(8) Self-administration of medications by
				non-licensed staff shall include, at a minimum, the following:
(a) Assist no more than one youth at a time
				with medication;
(b) Wash his or
				her hands prior to medication delivery;
(c) Remove the prescription container from
				the storage area, holding the container;
(d) Maintain control of the medication
				container at all times;
(e) Direct
				the individual youth to approach the area for medication administration when
				called;
(f) Compare the youth with
				the photograph attached to the MAR and confirm the youth's identity
				verbally;
(g) The youth and staff
				member together identify and verify the medication the youth is to take by
				checking the label and comparing the label to the Medication Administration
				Record. The staff member shall not permit youth to take any medication that has
				a discrepancy between the medication prescription label and the MAR.
(h) Confirm the allergy status of the youth
				and question the youth about any possible side effects or adverse reactions to
				the medication.
(i) Remove the
				medication from the container while the youth observes and hand the youth the
				exact amount of ordered medication. When the medication is a liquid, the staff
				member shall pour the exact volume of liquid ordered into a measured container
				and hand it to the youth.
(j) Shall
				directly observe that the youth actually swallows the medication.
(k) Both the youth and the staff member shall
				initial that the dosage was given.