OAR 851-047-0020
Teaching Administration of Noninjectable Medications and Periodic Inspection
(1)
A physician may provide the initial direction for administration of noninjectable medications.(2)
A Registered Nurse, or Licensed Practical Nurse at the direction of a Registered Nurse, may provide the initial direction for administration of noninjectable medications. When a Registered Nurse provides initial direction for the administration of noninjectable medications, the Registered Nurse must ensure that procedural guidance for administration of noninjectable medications is available to caregivers who administer medications. Initial direction shall include the following:(a)
The proper methods for administration of noninjectable medications;(b)
The reasons for the medications;(c)
The potential side-effects of the medications;(d)
Observation of the client’s response;(e)
Expected actions if side-effects are observed;(f)
Documentation of the administration of the medications; and(g)
Verification of the physician’s or nurse practitioner’s order and accurately transcribing the order onto the medication administration record.(3)
Administration of noninjectable medication may or may not be periodically inspected, at the discretion of the Registered Nurse, and must be in accordance with the regulations for the setting in which the medications are administered. Individual clients within the setting may require more frequent review as determined by the judgment of the Registered Nurse. Factors to consider in determining more frequent review include:(a)
The client’s condition and medical diagnoses;(b)
The number of medications prescribed and their potential for interaction;(c)
The type and amount of medication administered;(d)
The potential side-effects of the medications; and(e)
The client’s history of medication side-effects.(4)
Assisting with the administration of medications does not include administration of noninjectable medications and is not subject to the requirements of OAR 851-047-0020 (Teaching Administration of Noninjectable Medications and Periodic Inspection).(5)
Administration of noninjectable p.r.n. medications and treatments may be taught to unlicensed caregivers by a Registered Nurse or a Licensed Practical Nurse at the direction of a Registered Nurse and in accordance with the regulations of the setting in which medications are administered, provided:(a)
Initial direction for administration of noninjectable medications as described in OAR 851-047-0020 (Teaching Administration of Noninjectable Medications and Periodic Inspection)(2) is provided for the p.r.n. medications;(b)
The Registered Nurse writes parameters to clarify the physician’s or nurse practitioner’s p.r.n. order;(c)
The Registered Nurse or Licensed Practical Nurse leaves written parameters for the unlicensed caregiver(s) who administer medications; and(d)
The Registered Nurse or Licensed Practical Nurse leaves information for the caregivers who administer medications about the medications/treatments to be administered, including the purpose of the medications/treatments, their side effects and instructions for action if side effects are observed.(6)
The Registered Nurse and Licensed Practical Nurse have the responsibility to report unsafe practices that come to their attention related to administration of noninjectable medications to the proper person or agency even though the nurse may not have the primary responsibility for review of medication administration practices or supervision of the caregivers who administer noninjectable medications.
Source:
Rule 851-047-0020 — Teaching Administration of Noninjectable Medications and Periodic Inspection, https://secure.sos.state.or.us/oard/view.action?ruleNumber=851-047-0020.