Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 325 - ADMINISTRATION OF PSYCHOTROPIC MEDICATIONS TO CHILDREN FOR WHOM THE DEPARTMENT OF CHILDREN AND FAMILY SERVICES IS LEGALLY RESPONSIBLE › Section 325.50 - Children in Residential Facilities and/or Psychiatric Hospital Settings

Current through Register Vol. 48, No. 28, July 12, 2024
Residential facilities licensed by the Department shall have a
				written policy, approved by each facility's on-call physician and governing
				body, for the safe and accurate administration of medications to all children
				and youth in the facility.
a)
			 Residential facilities and psychiatric hospitals that provide care to children
			 for whom the Department is legally responsible shall submit a Psychotropic
			 Medication Request Form when requesting consent from Centralized Consent Unit
			 or Emergency Reception Center staff for the administration of psychotropic
			 medications. When consent is granted, the authorized agent shall ensure that a
			 copy of the Psychotropic Medication Consent Form is provided to the child
			 welfare worker and the residential facility or hospital that submitted the
			 request. The residential facility and/or hospital shall place a copy of the
			 Psychotropic Medication Consent Form in the child's case or medical record. For
			 after hours consent requests, authorized agents at the ERC shall send a copy of
			 the Psychotropic Medication Consent Form to the Department's psychiatric
			 consultant.
b) Prior consent from
			 an authorized agent at the Centralized Consent Unit or ERC is not required when
			 an emergency exists as defined in this Part, or for the administration of a
			 one-time non-emergency medication. However, the Centralized Consent Unit shall
			 be notified in writing of the administration of medication within one week of
			 its initial administration. The Psychotropic Medication Request Form shall be
			 used by the residential facility or psychiatric hospital to report the
			 administration of emergency medication or for the administration of one-time
			 non-emergency medication. When used for notification of the use of a
			 psychotropic medication due to an emergency or a one-time non-emergency
			 situation, the Request Form shall be completed by either a registered nurse or
			 a physician who has examined the child and shall contain the information set
			 forth in Section
			 325.30(h).
			 Additionally, the Request Form shall require a brief explanation of the nature
			 and circumstances for the administration of the emergency medication or for the
			 administration of a one-time non-emergency medication. A copy of the Request
			 Form shall be placed in the child's case record or medical file. Emergency or
			 one-time non-emergency medications may only be administered on a one-time
			 basis. Each administration of an emergency or one-time non-emergency medication
			 requires submission of the Psychotropic Medication Request Form, notifying the
			 Department of the use of the one-time emergency or non-emergency
			 medication.
c) PRN medications are
			 prohibited under this Part.
d) The
			 administration of psychotropic medication shall be monitored as follows:
1) The medical director of each residential
			 facility or hospital, or designee who has been licensed in accordance with the
			 provisions of the Nurse Practice Act [225 ILCS 65 ], shall conduct a monthly
			 review of all psychotropic medications and record that review in writing. This
			 record shall be reviewed during the on-site inspections required by this Part.
			 During this monthly review, the medical director or designee shall conduct an
			 inventory of all psychotropic medications and shall verify that:
A) psychotropic medications are labeled with
			 the child's name, directions for administering the medication, the date and
			 licensed prescriber's name, prescription number, and drug store or
			 pharmacy;
B) all medications are
			 stored in a locked cabinet or within a locked refrigerator, if required for
			 proper storage;
C) all controlled
			 substances are accounted for or, if any amount of a controlled substance is
			 missing, an incident report has been filed with the Director of the facility or
			 hospital;
D) psychotropic
			 medications are dispensed in accordance with the requirements of the
			 prescription;
E) written consents
			 for administration of psychotropic medications have been received from the
			 parent or guardian, as appropriate;
F) any medications for children who have left
			 the facility or hospital or who have been on runaway status 14 days or longer
			 have been properly disposed.