OAR 415-050-0045
Management of Medications
(1)
A written order signed by a physician, a physician’s standing order, or a physician’s order received by phone and signed by the physician at the earliest opportunity before any medication is administered to, or self-administered by any individual.(2)
Assurances that medications prescribed for one individual must not be administered to, or self-administered by another individual or employee.(3)
A policy that no unused, outdated, or recalled drugs must be kept in the Program. All unused, outdated, or recalled drugs must be disposed of in a manner that assures that they cannot be retrieved, except that drugs under the control of the Food and Drug Administration must be mailed with the appropriate forms by express, prepaid, or registered mail, every 30 days to the Oregon Board of Pharmacy. A written record of all disposals of drugs must be maintained in the Program and must include:(a)
A description of the drug, including the amount;(b)
The individual for whom the medication was prescribed;(c)
The reason for disposal; and(d)
The method of disposal including:(A)
Drugs that are outdated, damaged, deteriorated, misbranded, or adulterated shall be quarantined and physically separated from other drugs until they are destroyed or returned to their supplier.(B)
Controlled substances which are expired, deteriorated or unwanted shall be disposed of in conformance with 21 CFR 1307.21.(C)
Expired, deteriorated, discontinued, or unwanted controlled substances in a long-term care facility shall be destroyed and the destruction jointly witnessed on the premises by any two of the following:(i)
The consultant pharmacist or registered nurse designee;(ii)
The Director of Nursing Services or supervising nurse designee;(iii)
The administrator of the facility or an administrative designee; or(iv)
A Registered Nurse employed by the facility.(D)
The destruction shall be documented and signed by the witnesses and the document retained at the facility for a period of at least three years.(4)
A policy that all prescription drugs stored in the Program must be kept in a locked stationary container. Only those medications requiring refrigeration must be stored in a refrigerator.(5)
A policy for program stored not yet prescribed controlled substance including records and maintain inventories in conformance with 21 U.S.C. Section 827; 21CFR 1304.02 through 1304.11; 1304.21 through 1304.26; 1304.31 through 1304.33; except that a written inventory of all controlled substances shall be taken by registrants annually within 365 days of the last written inventory. All such records shall be maintained for a period of three years.(6)
A policy that in the case where a individual self-administers his or her own medication, self-administration must be recommended by the Program, approved in writing by the Medical Director, and closely monitored by the treatment staff.(7)
Individual records which must be kept for each individual for any prescription drugs administered to, or self-administered by any individual. This written record must include:(a)
Individual’s name;(b)
Prescribing physician’s name;(c)
Description of medication, including prescribed dosage;(d)
Verification in writing by staff that the medication was taken and the times and dates administered, or self-administered;(e)
Method of administration;(f)
Any adverse reactions to the medication; and(g)
Continuing evaluation of the individual’s ability to self-administer the medication.
Source:
Rule 415-050-0045 — Management of Medications, https://secure.sos.state.or.us/oard/view.action?ruleNumber=415-050-0045.