Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-37 - ADULT FAMILY CARE HOMES › Section 59A-37.006 - Standards and Practices for Care and Services

Current through Reg. 50, No. 138; July 16, 2024
The adult family-care home provider shall ensure the
				  provision of the following in accordance with chapter 429, part II, F.S., this
				  rule chapter, and the residency agreement:
(1) PERSONAL SERVICES.
(a) Assistance with or supervision of the
				activities of daily living as required by the resident. For a diabetic resident
				or a resident who has documented circulatory problems, cutting toenails shall
				only be permitted with written approval of the health care provider.
(b) Assistance with or supervision of the
				self-administration of medication, or medication administration.
1. Residents who are capable of
				self-administering their medications shall be encouraged and allowed to do
				so.
2. For residents who require
				supervision or assistance with self-administration, the provider or staff
				shall, as needed:
a. Remind residents when to
				take medications,
b. Prepare and
				make available such items as water, juice, cups, spoons, or other items
				necessary for administering the medication,
c. Obtain the medication and provide it to
				the resident,
d. Observe the
				resident take the medication and verify that the resident is taking the dosage
				as prescribed; and,
e. Provide any
				other assistance at the express direction of the resident or the resident's
				representative, except for administering the medication as defined in section
				465.003,
				F.S.
3. Medication
				administration in an AFCH is a nursing service and may only be provided as
				described in subsection (5) of this rule, except that instead of nursing
				progress notes, a record of medication administration shall be maintained which
				includes the name of the resident and any known allergies the resident may
				have; the name of the resident's health care provider and the health care
				provider's telephone number; the name of each medication prescribed, its
				strength, and directions for use; and a chart for recording each time the
				medication is taken, any missed dosages, refusals to take medication as
				prescribed, or medication errors. The chart must be updated each time the
				medication is administered.
4. A
				list of currently prescribed medications shall be maintained for all residents
				who self-administer or who require supervision or assistance with medications
				which includes the name of each medication prescribed, its strength and
				directions for use, and common side effects.
5. Nurses may manage weekly pill organizers
				for residents who self-administer or who require supervision or assistance with
				self-administration.
6.
				Prescription medications which are centrally stored by the provider shall be
				appropriately stored in their legally dispensed, labeled, original containers.
				Appropriately stored means that the medication be kept in an area free of
				dampness and abnormal temperatures, except that a medication requiring
				refrigeration shall be refrigerated.