Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 680 - Residential Care Homes › Subchapter 13 - Medication Storage and Administration › Section 310:680-13-1 - Medications

Current through Vol. 41, No. 20, July 1, 2024
Correct medication and pharmacy techniques and principles
				  shall be used when medications are administered or monitored. The home shall
				  comply with the following:
(1)
Storage and Maintenance.
(A)
				Medications shall be stored in an area that is locked, is well lighted, and
				room temperature not to exceed 86o
				Fahrenheit.
(B) Medications
				requiring refrigeration shall be kept in a refrigerator with a temperature
				range of 36o Fahrenheit
				(2o C) to 48o Fahrenheit
				(8o C) and separate from food and other items. A
				method of locking these medications shall be provided.
(C) Medications shall not be stored with any
				other non-drug item.
(D) Each
				individual's medications shall be kept separate.
(E) Externally applied medications shall be
				stored separately from medications taken internally.
(F) The medication of each resident shall be
				kept or stored in the original container.
(G) The medication area shall have a work
				counter and shall be kept clean and well organized.
(H) Hand washing facilities with hot and cold
				water shall be in close proximity to the medication area.
(I) Any unusual resident reaction to
				medication shall be reported to the physician at once and documented in the
				resident's record.
(J) No
				prescribed medication or over-the-counter medication for one (1) resident may
				be administered to or allowed in the possession of another resident.
(K) All prescription medication shall be
				clearly labeled to include the resident's full name, physician's name,
				prescription number, strength of drug, dosage, directions for use, date of
				issue, quantity, and name, address, and phone number of pharmacy or physician
				dispensing the drug.
(L) Resident's
				first and last name shall be on all over-the-counter drugs used. The home shall
				have a written policy to identify resident ownership of over-the-counter
				medication.
(M) All drugs shall be
				kept locked, and documented when taken by the resident.
(N) Documentation of medication ordered by
				the physician to be administered as circumstances may require (p.r.n.) shall be
				done immediately after administration and shall include date, time, dose, drug,
				route, and person responsible for administration.
(O) Only the person responsible for
				administering or monitoring medications shall have possession of the key to the
				locked medication area.
(P) Labels
				on containers shall be legible and firmly affixed.
(Q) No one shall alter labels on prescription
				containers. If a medication dosage change is made by the physician, then the
				container must be flagged at that time showing a label change is to be
				made.
(R) An individual inventory
				record and documentation for accountability shall be maintained for each
				Schedule II drug prescribed for each resident.
(S) Schedule II drugs shall be kept in a
				separate locked box within the locked medication area.
(T) All new or refilled prescription
				medication shall be counted upon receipt in the home and documented in each
				resident's medication record.
(U)
				Discontinued medications may be kept up to three (3) months and must be
				separated from the current medications within the locked medication
				area.
(V) The home shall have a
				written policy for safe disposal of discontinued medications and it shall be an
				approved method by the State Department of Health. Documentation shall be
				retained in the individual resident's record. Over-the-counter medications
				shall be destroyed in the presence of two (2) residential care home staff
				persons. Documentation shall include the name of the medication, the amount
				destroyed, the method of destruction, and shall be retained in the individual
				resident's record.
(W) When a
				resident is admitted to a home, or returns to a home from a temporary leave,
				the medications brought into the home shall be counted and documented by the
				person admitting the resident and countersigned by the resident or responsible
				party.
(X) When a resident is
				discharged, moves, or goes on a temporary leave from the home, the unused
				prescription shall be sent with the resident or with the responsible party. The
				resident record shall contain documentation of quantities of medication sent,
				as well as the signature of the resident or the responsible party receiving the
				drugs and of the staff person of the home that counted them.
(Y) Unused drugs prescribed for residents who
				have died shall be kept for one (1) month and then shall be destroyed in
				accordance with Item (V) of this subsection.
(Z) The R.N. shall do a documented medication
				review on every resident in the home quarterly.
(AA) Each residential care home shall have a
				first-aid kit for emergency use.