Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 73 - STANDARDS FOR LICENSED ASSISTED LIVING FACILITIES › Part VI - Resident Care and Related Services › Section 22VAC40-73-680 - Administration of medications and related provisions

Current through Register Vol. 40, No. 24, July 15, 2024
A. Staff who are licensed, registered, or
				  acting as medication aides on a provisional basis as specified in
				  22VAC40-73-670 shall administer
				  drugs to those residents who are dependent on medication administration as
				  documented on the UAI.
B.
				  Medications shall be removed from the pharmacy container, or the container
				  shall be opened, by a staff person licensed, registered, or acting as a
				  medication aide on a provisional basis as specified in
				  22VAC40-73-670 and administered to
				  the resident by the same staff person. Medications shall remain in the pharmacy
				  issued container, with the prescription label or direction label attached,
				  until administered to the resident.
C. Medications shall be administered not
				  earlier than one hour before and not later than one hour after the facility's
				  standard dosing schedule, except those drugs that are ordered for specific
				  times, such as before, after, or with meals.
D. Medications shall be administered in
				  accordance with the physician's or other prescriber's instructions and
				  consistent with the standards of practice outlined in the current registered
				  medication aide curriculum approved by the Virginia Board of Nursing.
E. Medical procedures or treatments ordered
				  by a physician or other prescriber shall be provided according to his
				  instructions and documented. The documentation shall be maintained in the
				  resident's record .
F. Sample
				  medications shall remain in the original packaging, labeled by a physician or
				  other prescriber or pharmacist with the resident's name, the name of the
				  medication, the strength, dosage, and route and frequency of administration,
				  until administered.
G.
				  Over-the-counter medication shall remain in the original container, labeled
				  with the resident's name, or in a pharmacy-issued container, until
				  administered.
H. At the time the
				  medication is administered, the facility shall document on a medication
				  administration record (MAR) all medications administered to residents,
				  including over-the-counter medications and dietary supplements.
I. The MAR shall include:
1. Name of the resident;
2. Date prescribed;
3. Drug product name;
4. Strength of the drug;
5. Dosage;
6. Diagnosis, condition, or specific
				  indications for administering the drug or supplement;
7. Route (e.g., by mouth);
8. How often medication is to be
				  taken;
9. Date and time given and
				  initials of direct care staff administering the medication;
10. Dates the medication is discontinued or
				  changed;
11. Any medication errors
				  or omissions;
12. Description of
				  significant adverse effects suffered by the resident;
13. For "as needed" (PRN) medications:
a. Symptoms for which medication was
				  given;
b. Exact dosage given;
				  and
c. Effectiveness;
				  and
14. The name,
				  signature, and initials of all staff administering medications. A master list
				  may be used in lieu of this documentation on individual
				  MARs.