Section 17-6108. GENERAL SUPERVISION BY REGISTERED NURSES OF TRAINED MEDICATION EMPLOYEES

 

6108.1Before administering medication to a program participant, all trained medication employees shall:

 

(a)Observe a supervisory registered nurse administering medication to a program participant on at least two (2) occasions;

 

(b)Be observed by a supervisory registered nurse on at least four (4) separate occasions while engaged in the process of administration, documentation, and monitoring side effects at one hundred percent (100%) proficiency;

 

(c)Demonstrate his or her proficiency and knowledge of all medication procedures for the storage of medications, and all program policies pertaining to the administration of medication; and

 

(d)Demonstrate knowledge of medications to be administered by reviewing the following with the supervisory nurse:

 

(1)Compatibility with other prescribed and non-prescribed medications;

 

(2)Known patient allergies;

 

(3)Usage warnings;

 

(4)Side effects;

 

(5)Indications for usage; and

 

(6)Other potential adverse reactions.

 

6108.2A registered nurse shall review the completed MAR monthly for proper and accurate documentation, including vital signs.

 

6108.3A registered nurse shall observe, review and evaluate in writing the ability of the trained medication employee to properly administer, document and store medication for a program participant every three (3) months for the first year of certification and every six (6) months thereafter.

 

6108.4The supervisory registered nurse shall be available to the trained medication employee for general or direct supervision.

 

6108.5REPEALED.

 

6108.6The supervisory registered nurse shall, on a monthly basis, review the licensed practitioner's orders, MAR, and medication intervals for all program participants.

 

6108.7The supervisory registered nurse shall review with the trained medication employee any errors in documentation that are noted. Serious or multiple errors or omissions shall be reported to the Board of Nursing.

 

6108.8Only a licensed nurse shall accept a telephone medication order from a licensed practitioner for a new prescription or change in dosage or frequency.

 

6108.9The licensed nurse receiving the verbal order pursuant to § 6108.7 or receiving an order directly from a licensed practitioner, shall order medication from the pharmacy and enter that specific medication, as ordered, on the program participant's medication administration record.

 

6108.10If the trained medication employee observes a change in the program participant's condition after administration of medication, the trained medication employee shall notify the registered nurse immediately

 

6108.11REPEALED.

 

6108.12REPEALED.

 

source

As amended by Final Rulemaking published at 48 DCR 2581 (March 23, 2001); as amended by Emergency Rulemaking published at 50 DCR 3071 (April 18, 2003) [EXPIRED]; as amended by Final Rulemaking published at 50 DCR 6464 (August 8, 2003) [EXPIRED]; as amended by Final Rulemaking published at 50 DCR 9242 (October 31, 2003).