Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 67 - General Provisions for Elder Group Homes, Assisted Living Programs, and Adult Day Services › Rule 481-67.5 - Medications

Current through Register Vol. 47, No. 3, July 24, 2024
(1) If a program
				handles, stores, or administers controlled substances, the program shall be
				registered with the Iowa board of pharmacy as a care facility in accordance
				with 657-Chapter 10.
(2) Each
				program shall follow its own written medication policy, which shall include the
				following:
a. The program shall not prohibit
				a tenant from self-administering medications.
b. A tenant shall self-administer medications
				unless:
(1) The tenant or the tenant's legal
				representative delegates in the occupancy agreement or signed service plan any
				portion of medication setup to the program.
(2) The tenant delegates medication setup to
				someone other than the program.
(3)
				The program assumes partial control of medication setup at the direction of the
				tenant. The medication plan shall not be implemented by the program unless the
				program's registered nurse deems it appropriate under applicable requirements,
				including those in Iowa Code section 231C. 16A and subrule 67.9(4). The
				program's registered nurse must agree to the medication plan.
c. A tenant shall keep medications
				in the tenant's possession unless the tenant or the tenant's legal
				representative, if applicable, delegates in the occupancy agreement or signed
				service plan partial or complete control of medications to the program. The
				service plan shall include the tenant's choice related to storage.
d. When a tenant has delegated medication
				administration to the program, the program shall maintain a list of the
				tenant's medications. If the tenant self-administers medications, the tenant
				may choose to maintain a list of medications in the tenant's apartment or to
				disclose a current list of medications to the program for the purpose of
				emergency response. If the tenant discloses a medication list to the program in
				case of an emergency, the tenant remains responsible for the accuracy of the
				list.
e. When medication setup is
				delegated to the program by the tenant, staff via nurse delegation may transfer
				medications from the original prescription containers or unit dosing into
				medication reminder boxes or medication cups.
f. When medications are administered
				traditionally by the program:
(1) The
				administration of medications shall be provided by a registered nurse, licensed
				practical nurse or advanced registered nurse practitioner registered in Iowa,
				by an individual who has successfully completed a department-approved
				medication aide or medication manager course and passed the respective
				department-approved medication aide or manager examination, or by a physician
				assistant (PA) in accordance with 645-Chapter 327. Injectable medications shall
				be administered as permitted by Iowa law by a registered nurse, licensed
				practical nurse, advanced registered nurse practitioner, physician, pharmacist,
				or physician assistant (PA).
(2)
				Medications shall be kept in a locked place or container that is not accessible
				to persons other than employees responsible for the administration or storage
				of such medications.
(3) The
				program shall maintain a list of each tenant's medications and document the
				medications administered.
(4)
				Medications and treatments shall be administered as prescribed by the tenant's
				physician, advanced registered nurse practitioner or physician
				assistant.
g. Narcotics
				protocol, including destruction and reconciliation, shall be determined by the
				program's registered nurse.