S.C. Code Regs. § § 61-13.1200.1203

Current through Register Vol. 48, 12, December 27, 2024

Section 61-13.1200.1203 - Administering Medication (I)

A. Medications shall be administered in accordance with orders from the attending physician, dentist, or other individual legally authorized to prescribe medications.

B. Medications and medical supplies ordered for a specific client shall not be provided to or administered to any other client.

C. Medications shall be administered in accordance with state practice acts by individuals licensed to administer medications, including a licensed respiratory care practitioner. The administration of medication shall include, but not be limited to,:

1. Removing an individual dose from a previously dispensed, properly labeled container (including a unit dose container);

2. Verifying the dosage with the physician's orders;

3. Giving the individual dose to the proper client;

4. Monitoring the ingestion or application of the dose; and

5. Promptly recording on the medication administration records, as it is administered, the date, time, does given, mode of administration, and identification of the individual who administered the medication.

D. Doses of medication shall be administered by the same licensed nurse or other legally authorized healthcare provider who prepared them for administration. Preparation of doses for more than one (1) scheduled administration shall not be permitted.

E. Self-administration of medications by clients shall be permitted only on the specific written orders of the client's attending physician or other legally authorized healthcare provider, verified by observation of the client by a licensed nurse, and recorded on the medication administration records by that same person. Facilities may elect to prohibit self-administration. The facility shall not allow clients to self-administer controlled substances.

F. The facility shall maintain a daily documented review of all scheduled controlled substances, Schedules II, III, IV, and V, by nurses including verification that the count was correct, and if incorrect, an explanation of the discrepancy and any corrective actions taken. The review shall include controlled substances in an unsealed emergency medication kit or cart.

G. Non-licensed facility staff members may administer nonlegend drugs, such as, aspirin, milk of magnesia, mineral oil, medicated shampoo, provided that these staff members have been trained to perform these tasks in the proper manner by individuals licensed to administer medications and the training is documented and maintained in the record of the non-licensed staff member.

S.C. Code Regs. § 61-13.1200.1203

Added by State Register Volume 40, Issue No. 05, eff. 5/27/2016.