6 Colo. Code Regs. § 1011-1 Chapter 08 Part 14

Current through Register Vol. 47, No. 11, June 10, 2024

Part 14 - Medications

14.1 On at least a quarterly basis, the facility shall ensure that medications and dosage taken by residents who are self-administering are reviewed by a licensed nurse or other licensed provider who is legally authorized to monitor medications within their own scope of practice.

14.2 Prescription medications shall be administered from containers or packages that are lawfully labeled.

14.3 The facility shall ensure that the primary care practitioner designated to coordinate a resident's care reviews each resident's medication on an annual basis for a stable regimen and whenever there is a new medication added or a change in the medication regimen.

14.4 At the time of discharge or transfer, medications administered by the facility shall be given to the resident's legal guardian, nurse, or qualified medication administration staff member at the new residence, and this shall be documented in the resident record.

14.5 The governing body shall establish and implement written policies and procedures that ensure the appropriate procurement, storage, administration, and disposal of all medications including, but not limited to:

(A) All medications, including, but not limited to, pro re nata (PRN) or "as needed" medications, shall be administered only by persons as authorized by law.

(B) Residents may self-administer medications unless they are determined to be incapable of safe self-administration by a licensed provider and such determination is documented and included in the resident record.

(1) The facility shall report non-compliance, misuse, or inappropriate use of known medications by a resident who is self-administering medications to the resident's primary care practitioner.

(2) The facility shall seek a review of the resident's determination related to self-administration, as follows, and retain updated documentation of the determination as appropriate:

(a) When non-compliance, misuse, or inappropriate use of known medications is reported to the resident's primary care practitioner.

(b) When there are changes in the resident's medications, routines, or circumstances that may impact their ability to self-administer medications.

(c) At least annually.

(3) All such reviews shall be documented in the resident's record.

(C) Facilities are allowed to use qualified medication administration persons (QMAPs) for medication administration, provided the following conditions are met:

(1) The facility fully complies with Sections 25-1.5-301 through 25-1.5-303, C.R.S., and 6 CCR 1011-1, Chapter 24 - Medication Administration Regulations;

(2) Group homes must meet the definition of facility at Section 25-1.5-301(2)(h), C.R.S.; and

(3) QMAPs shall not independently determine a resident's ability to self-administer medications.

(D) All medications shall be stored in locked containers according to the appropriate light and temperature conditions, and all controlled medications shall be double locked, except that residents capable of self-administering some or all of their medications shall be allowed to keep those medications in locked containers in their own rooms.

(E) There shall be documentation of medication administration to residents including time and dosage given, name of staff administering, and, if applicable, drug reaction or refusal by the resident.

(F) Staff shall report medication errors and refusals to the program director, consulting nurse, and primary care practitioner and shall ensure such errors and refusals are documented in the medication administration record.

(G) There shall be a policy and procedure for administration and transport of medications to facilitate community integrations and other activities such as day programs, vacations, and home visits.

14.6 The administrator shall ensure the implementation of and compliance with all policies and procedures related to controlled medication receipt, storage, administration, and disposal.

14.7 There shall be a designated medication preparation area separated from food that is equipped with: a suitable locking device to protect the medications stored therein; a refrigerator equipped with thermometer; counter work space; readily accessible contact information for the poison control center; and a sink for hand-washing or appropriate supplies for hand cleansing.

(A) Only medications, medical equipment, and supplies shall be stored in the designated preparation area.

(B) Test reagents, general disinfectants, cleaning agents, and other similar products shall not be stored in the medication area.

14.8 Non-prescription (over-the counter) medications administered to a resident shall meet the following conditions:

(A) The medication is maintained in the original container with the original label visible; and

(B) The medication is labeled with a single resident's full name.

14.9 Non-prescription drugs may be purchased by residents capable of self-administration.

6 CCR 1011-1 Chapter 08 Part 14