California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76347 - Nursing Services-Administration of Medications and Treatments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medications or
				  treatments shall not be given except on the order of a person lawfully
				  authorized to give such an order.
(b) Medications and treatments shall be
				  administered as prescribed and shall be recorded in client records as given.
				  Recording shall include the name and title of the person administering the
				  medication or treatment and date, time and dosage of the medication
				  administered. Initials may be used provided that the signature of the person
				  administering medications or treatments is also recorded on the medication or
				  treatment record.
(c) Preparation
				  of dosages for more than one scheduled administration time shall not be
				  permitted.
(d) Persons
				  administering medications shall carry each client's medication cards and shall
				  confirm each client's identity prior to the administration of any
				  medication.
(e) Medications shall
				  be administered within two hours after dosages are prepared and shall be
				  administered by the same person who prepared the dosages for administration.
				  Dosages shall be administered within one hour of the prescribed time unless
				  otherwise indicated by the prescriber.
(f) "Stat" orders shall be administered as
				  required in Section
				  76389(a)
				  (1)(A).
(g) All telephone orders for medications and
				  treatments shall only be received by a registered nurse, licensed vocational
				  nurse, psychiatric technician or pharmacist and any other persons lawfully
				  authorized to receive such orders in their specialty areas. Such orders shall
				  be recorded immediately in the client's record and shall be signed by the
				  prescriber within 48 hours.
(h)
				  Drugs may be administered in the absence of a specific duration of therapy in a
				  physician's new drug order, if the facility applies its stop order policy for
				  such drugs. The prescriber shall be contacted prior to discontinuing therapy as
				  established by stop order policy.
(i) All medications shall be administered
				  only by licensed medical or licensed nursing personnel with the following
				  exceptions:
(1) Students in the healing arts
				  professions shall be allowed to administer medications and treatments only when
				  the administration of the medications and treatments is incidental to their
				  course of study as approved by the professional board or organization legally
				  authorized to give such approval.
(2) Unlicensed persons may administer, under
				  the direct supervision of licensed nursing or licensed medical personnel,
				  during or after the completion of training and demonstrated evidence of
				  competency, only the following medications and treatments:
(A) Medicinal shampoos and baths.
(B) Laxative suppositories and
				  enemas.
(C) Nonlegend topical
				  ointments, creams, lotions and solutions when applied to intact skin
				  surfaces.
(3) Unlicensed
				  persons shall not administer any medication associated with treatment of the
				  eyes, ears, nose or genitourinary tract.