The licensed community support service provider for psychiatric treatment, including medication supervision must meet all general minimum standards for community support in addition to the following minimum requirements:
(1) Document the assessment and prescription of psychotropic medications appropriate to the needs of the consumer. Document that consumers and, as appropriate, family members are informed about the medication and possible side effects in language that is understandable to the consumer, and referred to other health care facilities for treatment of nonpsychiatric conditions;
(2) Provider staff must inspect and inventory medication storage areas at least quarterly:
(a) Medications must be kept in locked, well-illuminated storage;
(b) Medications kept in a refrigerator containing other items must be kept in a separate container with proper security;
(c) No outdated medications must be retained, and medications must be disposed of in accordance with regulations of the state board of pharmacy;
(d) Medications for external use must be stored separately from oral and injectable medications;
(e) Poisonous external chemicals and caustic materials must be stored separately.
(3) Medical direction and responsibility is assigned to a physician who is licensed to practice under chapter
18.57 or
18.71 RCW, and is board-certified or -eligible in psychiatry;
(4) Medications are only prescribed and administered by persons consistent with their license and related requirements;
(5) Medications are reviewed at least every three months;
(6) Medication information is maintained in the clinical record and documents at least the following for each prescribed medication:
(a) Name and purpose of medication;
(b) Dosage and method of giving medication;
(c) Dates prescribed, reviewed, and renewed;
(d) The effects, interactions, and side effects the staff observes or the consumer reports spontaneously or as the result of questions from the staff;
(e) Any laboratory findings;
(f) Reasons for changing or stopping the medication; and
(g) Name and signature of prescribing person.
(7) Assessment and appropriate referrals to or consultation with a physician or other health care provider when physical health problems are suspected or identified;
(8) Address current medical concerns consistent with the individualized service plan;
(9) If the service provider is unable to employ or contract with a psychiatrist, a physician without board eligibility in psychiatry may be utilized, provided that:
(a) Psychiatrist consultation is provided to the physician at least monthly; and
(b) A psychiatrist is accessible in person, by telephone, or by radio communication to the physician for emergency consultation.
[Statutory Authority: RCW 71.05.560, 71.24.035 (5)(c),71.34.800 , 9.41.047, 43.20B.020, and 43.20B.335. 01-12-047, § 388-865-0458, filed 5/31/01, effective 7/1/01.]