Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 113 - Regulations Governing the Licensing and Functioning of Assisted Housing Programs (includes Assisted Living Programs, Residential Care Facilities, and Private Non-Medical Institutions) (formerly 10-149 Ch. 113) › Level IV - Residential Care Facilities › Section 144-113-IV-7 - Medications and Treatments

Current through 2024-29, July 17, 2024
7.1
Use of
				  safe and acceptable procedures
. The administrator shall ensure that all
				  persons administering medications and treatments (except residents who
				  self-administer) use safe and acceptable methods and procedures for ordering,
				  receiving, storing, administering, documentation, packaging, discontinuing,
				  returning for credit and/or destroying of medications and biologicals. All
				  employees must practice proper hand washing and aseptic techniques. A
				  hand-washing sink shall be available for staff administering medications.
[Classes I/II/III]
7.1.1
				  Residents shall receive only the medications ordered by his/her duly authorized
				  licensed practitioner in the correct dose, at the correct time, and by the
				  correct route of administration consistent with pharmaceutical standards.
[Classes I/II/III]
7.1.2 No injectable medications may be
				  administered by an unlicensed person, with the exception of bee sting kits and
				  insulin.
7.1.3 Before using a bee
				  sting kit, unlicensed persons must be trained by a registered professional
				  nurse in regard to safe and proper use. Documentation of training shall be
				  included in the employee record.
7.1.4 Unlicensed assistive personnel must be
				  trained by a registered professional nurse in regard to the management of
				  persons with diabetes. Review of this training shall be on an annual basis.
The registered professional nurse must provide in-service
					 training and documentation to include:
[Class III]
7.1.4.1 Dietary requirements;
7.1.4.2 Anti-Diabetic Oral medications -
				  inclusive of adverse reactions and interventions, hyper and hypo glycemic
				  reactions;
7.1.4.3 Insulin mixing
				  including insulin action;
7.1.4.4
				  Insulin storage;
7.1.4.5 Injection
				  techniques and site rotation;
7.1.4.6 Treatment and prevention of insulin
				  reaction including signs/symptoms;
7.1.4.7 Foot care;
7.1.4.8 Lab testing, urine testing and blood
				  glucose monitoring; and
7.1.4.9
				  Standard Precautions.
Documentation of training shall be included in the employee
					 record.
Review of this training shall be on an annual basis.
7.1.5 Urine testing
				  shall not be done around medication or areas where food is stored or prepared.
				  Proper Standard Precautions relative to body fluids shall be implemented.
				  Toilets shall be used for the disposal of urine and test sample waste. Toxic
				  urine testing chemicals (tablets, solutions) shall be stored in a locked area
				  totally apart from oral medications.
7.1.6 For those residents for whom the
				  facility is responsible for assistance with medication administration, no
				  medications, including those brought into the facility by the resident, family
				  or friends, shall be administered or discontinued without a written order
				  signed by a duly authorized licensed practitioner or other person licensed to
				  prescribe medications.
[Class III]
7.1.7 Orders for medications and treatments
				  shall be in writing, signed and dated by a duly authorized licensed
				  practitioner and shall be in effect for the time specified by the duly
				  authorized licensed practitioner, but in no case to exceed twelve (12) months,
				  unless there is a written reorder. Orders for psychotropic medications shall be
				  reissued every three (3) months, unless otherwise indicated by the duly
				  authorized licensed practitioner. Standing orders for individual residents are
				  acceptable when signed and dated by the duly authorized licensed practitioner.
7.1.7.1 Upon admission to another facility,
				  all existing orders are no longer in effect. Upon return to the facility, all
				  orders must be reviewed and approved by the resident's duly authorized licensed
				  practitioner within 72 hours. During that timeframe, orders that are signed and
				  dated by the discharging duly authorized licensed practitioner are the current
				  acceptable orders. Prior to admission to another facility all medications must
				  be removed from service and placed in a locked area in accordance with Section
				  7.7.