Iowa Administrative Code › Agency 441 - Human Services Department › Title XII - Licensing and Approved Standards › Chapter 114 - Licensing and Regulation of All Group Living Foster Care Facilities for Children › Rule 441-114.12 - Drug Utilization and Control

Current through Register Vol. 47, No. 3, July 24, 2024
The agency shall have and follow written policies and
				  procedures governing the methods of handling prescription drugs and
				  over-the-counter drugs within the facility. No prescription or narcotic drugs
				  are to be allowed in the facility without the authorization of a licensed
				  physician or authorized prescriber.
(1)
Approved drugs.
Only
				drugs which have been approved by the federal Food and Drug Administration for
				use in the United States may be used. No experimental drugs may be
				used.
(2)
Prescribed by
				physician or other authorized prescriber.
Drugs shall be prescribed by
				a physician licensed to practice in the state of Iowa or the state in which the
				physician is currently practicing, or by an advanced registered nurse
				practitioner or physician assistant as permitted by Iowa law, and may be
				prescribed only for use in accordance with dosage ranges and indications
				approved by the federal Food and Drug Administration.
(3)
Dispensed from a licensed
				pharmacy.
Drugs provided to residents shall be dispensed only from a
				licensed pharmacy in the state of Iowa in accordance with the pharmacy laws in
				the Code of Iowa, or from a licensed pharmacy in another state according to the
				laws of that state, or by a licensed physician.
(4)
Locked cabinet.
All
				drugs shall be maintained in a locked cabinet. Schedule II medications shall be
				maintained in a locked box within the locked cabinet. The cabinet key shall be
				in the possession of a staff person. A bathroom shall not be used for drug
				storage. A documented exception can be made by persons identified in these
				rules who may allow self-administered drugs as discussed in subrule
				114.12(17).
(5)
Medications
				requiring refrigeration.
Medications requiring refrigeration shall be
				kept in a locked box in the refrigerator and separated from food and other
				items.
(6)
Poisonous or
				caustic drugs.
All potent poisonous or caustic drugs shall be plainly
				labeled, stored separately from other drugs in a specific well-illuminated
				cabinet, closet, or storeroom, and made accessible only to authorized
				persons.
(7)
Prescribed
				medications.
All prescribed medications shall be clearly labeled
				indicating the resident's full name, physician's name, prescription number,
				name and strength of the drug, dosage, directions for use and, date of issuing
				the drug. Medications shall be packaged and labeled according to state and
				federal guidelines.
(8)
Medication containers.
Medication containers having soiled,
				damaged, illegible or makeshift labels shall be returned to the issuing
				pharmacist.
(9)
Medication
				for discharged residents.
When a resident is discharged or leaves the
				facility, the facility shall turn over to a responsible agent Schedule II
				medications and prescription medications currently being administered. The
				facility may send nonprescription medications with the child as needed. The
				facility shall document in the child's file:
a. The name, strength, dosage form, and
				quantity of each medication.
b. The
				signature of the facility staff person who turned over the medications to the
				responsible agent.
c. The signature
				of the responsible agent receiving the medications.