Section 29-9707. MEDICATION ADMINISTRATION, ASSISTANCE AND COUNSELING  


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    9707.1 The ADHP shall provide medication administration, assistance and counseling in accordance with the requirements of this Section.

     

    9707.2 Medication administration and counseling services shall be supervised by a registered nurse.

     

    9707.3 Medications, including over the counter medications, shall not be administered without a written order signed by a physician or an advance practice registered nurse, acting within the scope of his or her license.

     

    9707.4 Medications, including injectable medications, shall only be administered as ordered by the physician or advance practice registered nurse and may only be administered by a physician, registered nurse, or licensed practical nurse.

     

    9707.5 An individual authorized under Subsection 9707.4 to administer medications to a participant under these rules shall personally prepare the dosage, observe the act of swallowing oral medicines, and record each dosage given in each participant’s medication administration record (MAR).  The MAR shall clearly identify each individual who administers each dose.

     

    9707.6 A registered nurse or a direct support professional working directly with the participant and employed by the ADHP shall provide assistance to participants who are able to self-administer medications.

     

    9707.7 The ADHP shall provide counseling to participants and their families regarding medication safety, efficacy, and adherence, and shall assist participants to order medications or obtain a prescription or prescription refill. 

     

    9707.8All medications, including those for participants who are able to self- administer, shall be stored in a safe, secure, locked storage area.

     

    9707.9The ADHP shall develop and implement internal quality controls to ensure that medications are stored properly and administered in accordance with the physician’s orders.

     

    9707.10 No controlled substances shall be administered or stored on the premises in violation of the Controlled Substances Act, approved October 27, 1970 (Pub. L. No. 113-234, 84 Stat. 1242; 21 U.S.C. §§ 801 et seq.), and its implementing federal regulations. 

     

    9707.11The ADHP shall adhere to any applicable Federal or District of Columbia law, rules and/or regulations related to medication administration.

     

authority

An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02 (2014 Repl.)), and Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2012 Repl.)).

source

Final Rulemaking published at 63 DCR 1031 (January 29, 2016).