Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 72 - Forensic Supervised Transitional Residential and Aftercare Facilities Licensing Standards › Subchapter D - Participation Requirements › Section I-7243 - Personal and Supportive Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 The facility shall provide adequate services and oversight/supervision,
					 including adequate security measures, around the clock as needed for any client
					 in accordance with the clients treatment plan.
B. Client Self-administration of Medications
1. The FSTRA shall have clear written
					 policies and procedures on direct care staff assistance with client
					 self-administration of medications.
2. The FSTRA shall assist clients in the
					 self-administration of prescription and non-prescription medication(s) as
					 agreed to in their contract or service plan and as allowed by applicable state
					 statute and in accordance with the regulations of this Section.
3. Assistance with self-administration of
					 medications shall be limited to the following.
a. The client may be reminded to take his/her
					 medication(s) when such medications have been prescribed for a specific time of
					 day, a specific number of times per day, specific intervals of time or for a
					 specific time in relation to mealtimes or other activities such as arising from
					 bed or retiring to bed.
b. The
					 medication regimen, as indicated on the container, may be read to the
					 client.
c. The dosage may be
					 checked according to the container label.
d. The staff may open the medicine container
					 (i.e. bottle, pill organizer, blister pak, etc.) and/or provide assistance with
					 pouring medications if the client lacks the physical ability to open the
					 container or pour his/her own medications and the client is cognitive of what
					 the medication is, what the medication is for and the need for the medication.
i. Offering of liquids to a client who is
					 familiar with his/her medications to assist that client in ingesting oral
					 medications is allowed.
e. Assistance with self-administration of
					 medications shall not include:
i.
					 administering injections of any kind;
ii. administering any prescription
					 medications including, but not limited to, eye drops, ear drops, nose drops,
					 liquid medications, inhalers, suppositories, or enemas;
iii. prompting or reminding a resident that
					 it is time to take a PRN, or as-needed medication;
iv. crushing or splitting
					 medications;
v. placing medications
					 in a feeding tube; or
vi. mixing
					 medications with foods or liquids.
4. An employee that provides assistance with
					 the self-administration of medications to a client shall have documented
					 training on the policies and procedures for assistance with client
					 self-administration of medications including the limitations of this
					 assistance. This training shall be repeated and documented at least annually.
					 Documentation shall include the signature of the employee initially and at
					 least annually at time of training.
5. A competency evaluation shall be developed
					 and conducted to ensure that each direct care staff person that assists a
					 client with the self-administration of medications is able to demonstrate
					 competency in the training areas pursuant to §7243. B 1-4.
a. Documentation of such competency
					 evaluation of each direct care staff person shall be maintained and readily
					 available in the facilitys records.
6. Unlicensed employees shall not perform
					 medication administration which is separate and apart from the performance of
					 assistance of a client with the self-administration of medications.