Section 16.04.18.449 - MEDICATIONAn organization must have and follow policies and procedures on the storage and administration, or assistance with medication, and comply with IDAPA 24.34.01, "Rules of the Idaho Board of Nursing." The policies must address the following:
01.Medication Storage. Require that prescription and over-the-counter medication be stored under lock and key and the keys are safeguarded from children. For medications taken on field outings, storage of medication must be in the possession of staff who is qualified to administer or assist with medications. The medication must be in the original pharmacy-dispensed container, or in an original over-the-counter container, or placed in a unit container by a medical professional.02.Administration and Assistance. Require that staff who administer or assist with self administration of medications be trained by a medical professional.03.Psychotropic Medication. Prohibit the administration of psychotropic medications: a. Unless a medical professional determines that the medication is clinically indicated; andb. For disciplinary purposes, for the convenience of staff, or as a substitute for appropriate treatment services.04.Medication Changes. Document medications prescribed for the child while in care including the date prescribed and the prescribing physician. Prescribed medications must not be stopped or changed without consulting with a medical professional. Documentation of the consultation must include: a. Names of the child, the medical professional, and staff consulting with the medical professional;b. Date of the consultation;c. Specific details of the change to include dosage, administration time, and instructions; andd. Reasons for the change.05.Documentation for Prescription Medication. Document all prescription medication issued by a medical professional's order to include dosage to be given, and the following:c. The amount of dosage given and whether the child did not take the medication; andd. The person who administered or assisted in self-administration of the medication.06.Documentation for Nonprescription Medication. Document all over-the-counter medication and the following: c. The amount of dosage given and whether the child did not take the medication;d. The person who administered or assisted in self-administration of the medication;e. The reason the medication was given. Over-the-counter medication will only be given according to the package instructions unless there is a child-specific valid order by a medical professional stating the medication is to be used for reasons other than those stated on the packaging; andf. The effects of the medication.07.Disposal of Unused Medication. Dispose of all unused and expired medication so they are not available to children.Idaho Admin. Code r. 16.04.18.449