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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
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Chapter 22-B20. HOSPITALS |
Section 22-B2025. ERRORS IN PROVISION AND ADMINISTRATION OF MEDICATIONS
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2025.1Each hospital shall establish and implement policies and procedures for reporting any errors in administration or provision of prescribed medications. Errors shall be reported to the prescriber in a timely manner upon discovery and a written report of the error prepared.
2025.2Documentation of medication errors shall be maintained by each hospital and made available for review by the Department.
2025.3Each hospital shall establish and implement policies and procedures for reporting any adverse reaction to a medication in a timely manner upon discovery to the prescriber and for documenting the event in the patient's medical record.
2025.4Each hospital shall establish and implement procedures on the handling of drugs to ensure that patients receive medications as prescribed by a medical practitioner. At a minimum, the following shall be evident:
(a)An accounting during each shift at each nursing unit of all controlled substances that have been dispensed as multiple-dose floor stock and individual patient prescriptions; and
(b)Authorized personnel designated by hospital policy in accordance with applicable law are allowed access to medications, including controlled substances.
2025.5Each hospital shall maintain records in sufficient detail to assure that patients receive the medications prescribed by a medical practitioner and maintain records to protect medications against theft and loss.
2025.6Each hospital shall develop and maintain for each inpatient an individual medication administration record that includes, but is not limited to:
(a)The identification of the patient;
(b)The name of the medication given;
(c)The date, time, dosage, method of administration or provision for each medication;
(d)Identification of the person who administered or provided the medication and any refusal by the patient; and
(e)The patient's medication allergies and sensitivities.