Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 65 - Intermediate Care Facilities for Persons With Mental Illness (ICF/PMI) › Rule 481-65.17 - Medication Management

Current through Register Vol. 47, No. 3, July 24, 2024
Medications shall be prescribed on an individual basis by a
				  person who is authorized by Iowa law to prescribe. (I, II)
1. Medication orders shall be correctly
				implemented by qualified personnel. (II)
2. Qualified staff shall ensure that
				residents are able to take their own medication. (I, II)
3. Each physician order allowing a resident
				to self-administer medications shall specify whether this self-medication shall
				be without supervision or under the supervision of qualified staff as defined
				in 65.17 (2). (I, II)
(1) A properly trained
				person shall be charged with the responsibility of administering nonparenteral
				medications.
a. The individual shall have
				knowledge of the purpose of the drugs, their dangers, and
				contraindications.
b. This person
				shall be a licensed nurse or physician or shall have successfully completed a
				department-approved medication aide course or passed a department-approved
				medication aide challenge examination administered by an area community
				college.
c. Prior to taking a
				department-approved medication aide course, the individual shall:
(1) Successfully complete an approved nurse
				aide course, nurse aide training and testing program or nurse aide competency
				examination.
(2) Be employed in the
				same facility for at least six consecutive months prior to the start of the
				medication aide course. This requirement is not subject to waiver.
(3) Have a letter of recommendation for
				admission to the medication aide course from the employing facility.
d. A person who is a nursing
				student or a graduate nurse may take the challenge examination in place of
				taking a medication aide course. This individual shall do all of the following
				before taking the medication aide challenge examination:
(1) Complete a clinical or nursing theory
				course within six months before taking the challenge examination;
(2) Successfully complete a nursing program
				pharmacology course within one year before taking the challenge
				examination;
(3) Provide to the
				community college a written statement from the nursing program's pharmacology
				or clinical instructor indicating the individual is competent in medication
				administration;
(4) Successfully
				complete a department-approved nurse aide competency evaluation.
e. A person who has written
				documentation of certification as a medication aide in another state may become
				a medication aide in Iowa by successfully completing a department-approved
				nurse aide competency examination and a medication aide challenge examination.
The requirements of paragraph
"c "
of this
				  subrule do not apply to this individual.
f. Unit dose medication shall remain in the
				identifiable unit dose package until given to the resident. (II)
g. Medications that are not contained in unit
				dose packaging shall be set up, identified by resident name and medication
				name, and administered by the same person. The medications shall be
				administered within one hour of preparation. (II)
h. The person administering medications must
				observe and check to make sure the resident swallows oral medications and must
				record the date, time, amount and name of each medication given. (II)
i. Injectable medications shall be
				administered as permitted by Iowa law by a qualified nurse, physician,
				pharmacist, or physician assistant (PA). In the case of a resident who has been
				certified by the resident's physician or physician assistant (PA) as capable of
				taking the resident's own insulin, the resident may prepare and inject the
				resident's own insulin. (II)
j.
				Current and accurate records must be kept on the receipt and disposition of all
				Schedule II drugs. (II, III)