The licensee is responsible for the control and use of all medications within the RTF, including:
(1) Ensuring policies and procedures and medication protocols are developed, approved, reviewed and implemented by licensed health care providers, administration and pharmacist (as needed). The policies and procedures must be consistent with the rules of the department and the department's board of pharmacy and address all aspects of medication administration, including the following:
(a) Timely procurement;
(b) Medication administration;
(d) Proper storage conditions addressing security, safety, sanitation, temperature, light, moisture and ventilation;
(e) Use of nonprescription drugs:
(i) List of drugs available;
(ii) Parameters of use;
(g) Proper labeling;
(i) Medication brought into RTF by a resident;
(k) Starter supply of psychotropic, detoxification and emergency drugs not for a specific resident;
(l) Emergency allergy response kit of prepackaged medications and supplies for the treatment of anaphylactic shock; and
(m) Medications for short term authorized absence (pass) from the RTF, where applicable.
(2) Establishing and maintaining of an organized system that ensures accuracy in receiving, transcribing and implementing policies and procedures for medication administration, including ensuring residents receive the correct medication, dosage, route, time, and reason.
(3) Documentation of all medications administered or self-administered, including the following data:
(a) Name and dosage of medication;
(b) Start/stop date;
(e) Staff or resident initials indicating medication was administered, self-administered or issued;
(f) Notation if medication was refused, held, wasted or not administered or self-administered;
(h) Resident response to medication when given as necessary or as needed (PRN);
(i) Medical staff notification of errors, adverse effects, side effects; and
(j) Within established parameters for nonprescription drugs.
(4) Ensuring written orders are signed by an authorized health care provider with prescriptive authority for all legend drugs and vaccines. Verbal orders for legend drugs and vaccines must be signed by the prescriber as soon as possible, but no later than seven days after the verbal order.
(5) Ensuring use of nonprescription drugs that are self-administered are:
(a) Within parameters established for nonprescription drugs; and
(b) According to established list.
(6) Having a current established drug reference resource available for use by RTF staff.
[Statutory Authority: Chapter 71.12
RCW. WSR 05-15-157, § 246-337-105, filed 7/20/05, effective 8/20/05.]