N.H. Admin. Code § He-M 1201.05

Current through Register No. 50, December 12, 2024

Section He-M 1201.05 - Self-Administration of Medication

(a) An individual shall be presumed to be capable to self-administer medications unless the individual:

(1) Has been appointed a guardian, pursuant to RSA 464-A, with the authority to consent to or approve of medical treatment or care; or

(2) Has been assessed pursuant to (b) and (c) below and does not demonstrate the ability to selfadminister medications.

(b) An individual who wishes to self-administer medication(s), with the approval of his or her guardian, if applicable, shall be assessed by a nurse trainer and determined to be capable of self-administering medications if the individual demonstrates the ability to do the following:

(1) Identify each medication;

(2) Indicate the purpose of each medication;

(3) Indicate the dosage, frequency, time, and route of administration for each medication;

(4) Understand the potential consequences of not taking the medication or of not taking the medication properly;

(5) Indicate circumstances for which assistance should be sought from licensed persons; and

(6) Seek assistance, if needed, from licensed persons.

(c) For individuals who wish to self-administer medication but do not demonstrate the ability pursuant to (b) above, the provider agency shall:

(1) Document in the service agreement the individual's need for education in order to selfadminister medications;

(2) Initiate education that includes, minimally, the components outlined in (b) above; and

(3) After the individual has received the education in (2) above, require a licensed person or authorized provider to directly supervise the individual self-administering medications to prevent medication errors and to evaluate the individual's capability to self-administer medication.

(d) The nurse trainer shall assess individuals who self-administer medications to determine the individual's continued capability to self-administer medications:

(1) No later than last day of the 12^th month from the date of the prior assessment; or

(2) More frequently if the individual begins to demonstrate that he or she does not meet the criteria in (b) above.

(e) The nurse trainer shall maintain documentation of the ability to self-administer medications, including the guardian's approval, if applicable, in the individual's record.

N.H. Admin. Code § He-M 1201.05

(See Revision Note at part heading for He-M 1201) #4809, eff 5-1-90; ss by #6000, eff 3-21-95; ss by #7836, INTERIM, eff 3-22-03, EXPIRES: 9-18-03; ss by #7956, eff 9-19-03; ss by #9982, eff 9-19-11 (from He-M 1201.04 )

Amended by Volume XXXIX, Number 41, Filed October 10, 2019, Proposed by #12876, Effective 9/25/2019, Expires 3/23/2020.

Amended by Volume XL Number 28, Filed July 9, 2020, Proposed by #13057, Effective 6/17/2020, Expires 6/17/2030