Louisiana Administrative Code › Title 22 - CORRECTIONS, CRIMINAL JUSTICE AND LAW ENFORCEMENT › Part I - Corrections › Chapter 9 - Administration of Medications to Children in Detention Facilities › Section I-905 - Role of Governing Bodies [Formerly Section 505]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Louisiana Legislature enacted
				R.S.
				15:911, Act 502 of 2001.
1. The Nurse Practice Act,
				R.S.
				37:911 et seq., as re-enacted and amended and
				the administrative rules implementing the Act serve as the legal standards for
				the practice of registered nurses. The Act creates the board which serves as an
				arm of the state government to protect the health and welfare of the citizens
				of the state as far as the practice of the registered nurse is concerned. The
				board regulates the practice of nurses by licensing qualified individuals as
				registered nurses. Further, the board investigates complaints relative to the
				practice of a registered nurse and provides information and direction relative
				to the legal practice of registered nurses.
2. The department has been directed to
				perform a variety of tasks related to of
				R.S.
				15:911 including jointly promulgating the
				rules herein. The department's continuing role will include approval of doctors
				and registered nurses who are selected by the detention centers to conduct
				medical assessments and review prescriber's orders in order to determine when
				the administration of a medication to a particular child housed in a detention
				center can safely be delegated and performed by someone other than a licensed
				health professional.
3. The
				director of the juvenile detention center provides:
a. an appropriate environment and supplies
				for training unlicensed personnel to administer medications;
b. for collaboration with the registered
				nurse regarding the safe and appropriate storage of medications and access to
				the medications by trained unlicensed personnel relative to:
i. the storage of medications in a locked
				cabinet, closet, or drawer that is used only for the storage of
				medications;
ii. medications that
				must be refrigerated to be stored in locked box in the refrigerator;
iii. the counting and the keeping of accurate
				records on controlled substances on a daily basis;
iv. a double locked cabinet, box or drawer
				that is used only for the storage of controlled substances;
c. at least two detention facility
				employees who have the desire and the potential capability to complete
				successfully the training, to administer medication in a safe and competent
				manner;
d. administrative
				supervision for personnel administering medications and cooperates with the
				registered nurse or physician in the support, supervision, and evaluation of
				unlicensed trained personnel;
e.
				relief from all other duties during the period that the unlicensed trained
				personnel is administering the medications;
f. essential space, materials, equipment, and
				other requirements;
g. annual
				in-service for unlicensed trained personnel to maintain and improve technical
				skills;
h. a procedure for a
				witness to the medication procedure upon the unlicensed trained personnel's
				request;
i. a procedure for the
				withdrawal of a witness upon written request;
j. the maintenance of records documenting the
				administration of medication in an appropriate, confidential file;
k. a plan to accommodate timely consultation
				between the trained unlicensed personnel and the registered nurse or physician
				regarding complications or problems not addressed in the juvenile's individual
				health plan;
l. a plan to maintain
				drug security in the work site and on the person in accord with federal and
				state requirements;
m. a plan for
				disposal of hazardous waste material in accord with federal
				guidelines;
n. a record on each
				individual who successfully completes the unlicensed employee medication
				administration course. Records must include:
i. original skills check list
				scoring;
ii. a copy of the
				certificate indicating completion of the medication administration
				course;
iii. documentation of
				successful completion of the annual in-service and evaluation.