Section R. 330.7158 - MedicationRule 7158.
(1) A provider shall only administer medication at the order of a physician and in compliance with the provisions of section 719 of the act, if applicable.(2) A provider shall assure that medication use conforms to federal standards and the standards of the medical community.(3) A provider shall not use medication as punishment, for the convenience of the staff, or as a substitute for other appropriate treatment.(4) A provider shall review the administration of a psychotropic medication periodically as set forth in the recipient's individual plan of service and based upon the recipient's clinical status.(5) If an individual cannot administer his or her own medication, a provider shall ensure that medication is administered by or under the supervision of personnel who are qualified and trained.(6) A provider shall record the administration of all medication in the recipient's clinical record.(7) A provider shall ensure that medication errors and adverse drug reactions are immediately and properly reported to a physician and recorded in the recipient's clinical record.(8) A provider shall ensure that the use of psychotropic medications is subject to the following restrictions:(a) Unless the individual consents or unless administration of chemotherapy is necessary to prevent physical injury to the individual or to others psychotropic medications shall not be administered to:(i) A recipient who has been admitted by medical certification or by petition until after a final adjudication as required under section 468(2) of the act.(ii) A defendant undergoing examination at the center for forensic psychiatry or other certified facility to determine competency to stand trial.(iii) A person acquitted of a criminal charge by reason of insanity while undergoing examination and evaluation at the center for forensic psychiatry.(b) A provider may administer chemotherapy to prevent physical harm or injury after signed documentation of the physician is placed in the resident's clinical record and when the actions of a recipient or other objective criteria clearly demonstrate to a physician that the recipient poses a risk of harm to himself, herself, or others.(c) Initial administration of psychotropic chemotherapy may not be extended beyond 48 hours unless there is consent. The duration of psychotropic chemotherapy shall be as short as possible and at the lowest possible dosage that is therapeutically effective. The chemotherapy shall be terminated as soon as there is little likelihood that the recipient will pose a risk of harm to himself, herself, or others.(d) Additional courses of chemotherapy may be prescribed and administered if a recipient decompensates and again poses a risk to himself, herself, or others.(9) A provider shall ensure that only medication that is authorized in writing by a physician is given to recipients upon his or her leave or discharge from the providers program and that enough medication is made available to ensure the recipient has an adequate supply until he or she can become established with another provider.Mich. Admin. Code R. 330.7158
1979 AC; 1981 AACS; 1986 AACS; 1998 AACS; 2007 AACS