South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-93 - Standards for Licensing Facilities for Chemically Dependent or Addicted Persons › Sec2 61-93.1200 - MEDICATION MANAGEMENT › Section 61-93.1200.1203 - Administering Medication (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Doses of Medication shall be administered by the same Licensed Nurse who
				prepared them for administration. Preparation shall occur no earlier than one
				(1) hour prior to administering. Preparation of doses for more than one (1)
				scheduled administration shall not be permitted. Each Medication dose
				administered shall be recorded on the Patient's Medication administration
				record ("MAR") as it is administered. Should an ordered dose of Medication not
				be administered, an explanation as to the reason shall be recorded on the MAR.
				The recording of Medication administration shall include: the medication name,
				dosage, mode of administration, date, time, and the signature of the individual
				administering or supervising the taking of the Medication. Initials in lieu of
				signatures are acceptable provided such initials can be readily identified on
				the MAR. If the ordered dosage is to be given on a varying schedule, for
				example, "take two tablets the first day and one tablet every other day by
				mouth with noon meal," the number of tablets shall also be recorded.
B. When a Physician or other Authorized
				Healthcare Provider changes the dosage of a Medication, a new entry reflecting
				the change shall be documented in the Medication administration record ("MAR").
				No dose shall be administered until the Patient's identity has been verified
				and the dosage compared with the currently ordered and documented dosage level.
				Ingestion shall be observed and verified by the person authorized to administer
				the Medication.
C. Opioid Treatment
				Program Only:
1. The Facility shall not
				administer a Patient's initial dose of Opioid Treatment Program Medication
				until the program Physician or other Authorized Healthcare Provider has
				determined that all admission criteria have been met, to include a completed
				Physical Examination by the program Physician or other Authorized Healthcare
				Provider and confirmation of current Medication regimen being taken by the
				applicant.
2. The initial dose of
				methadone shall not exceed thirty (30) milligrams and the initial total daily
				dose for the first day shall not exceed forty (40) milligrams unless the Opioid
				Treatment Program Physician or other Authorized Healthcare Provider justifies
				in the Patient record that forty (40) milligrams did not suppress the
				abstinence symptoms after three (3) hours of observation following the initial
				dose. There shall be written justification in the Patient record, signed and
				dated by the Opioid Treatment Program Physician or other Authorized Healthcare
				Provider, for doses in excess of one hundred (100) milligrams of methadone per
				day after the first day.
3. A
				Patient's scheduled dose may be temporarily delayed if necessary, e.g., to
				obtain a urine sample or for Counselor consultation. The dose shall not be
				withheld, however, for failure to comply with the Opioid Treatment Program
				rules or procedures unless the decision is made to terminate the Patient's
				participation in the Opioid Treatment Program. A dose may be withheld only when
				the Opioid Treatment Program Physician or other Authorized Healthcare Provider
				determines that such action is medically indicated.
4. When the Opioid Treatment Program
				Physician prescribes Controlled Substances other than Opioid Treatment Program
				Medications, such prescriptions shall not be administered to any Patient unless
				the Opioid Treatment Program Physician or other Authorized Healthcare Provider
				first examines the Patient and assesses his or her potential for misuse of such
				Medications.