Section 1240-07-10-.13 - MEDICATION(1) The center shall have a written policy which allows a participant to self-medicate or which allows staff who have received medication training to supervise or provide assistance to the participant for this purpose in accordance with any requirements set by the participant's health care practitioner.(2) Appropriate assistance or supervision by staff includes reading labels, opening bottles, reminding participants to take medication, checking the self-administered dose against the dosage shown on the prescription, observing the participant while taking medication, reassuring participants that he/she is taking the correct dosage, and reporting any noticeable changes in the condition of a participant to a physician and/or to the responsible party.(3) Under no circumstances shall an employee or volunteer provide any oral or topical medication, whether prescription or non-prescription, to a participant unless under the direction of the participant's physician or by written authorization of the responsible party.(4) A list of current prescription and non-prescription medicines including herbals, vitamins and other supplements being taken by each participant shall be maintained by the center and updated as changes occur.(5) All medications shall be stored in a container, labeled with the participant's name, the name of the medication, dosage strength, frequency, method of administration, prescribing physician, and special instructions.(6) For participants requiring assistance, the center shall maintain daily records of medications taken by the participant, including the date, the dosage, the time the medication was taken and the signature of any staff assisting.(7) The center shall document all medication errors, in writing, in the participant's file; and the center shall report the incident to the director of the adult day services center, the participant's family and/or responsible party, and the Department on the same day of the incident.(8) Discontinued and outdated drugs and containers with worn, illegible or missing labels shall immediately be returned to the responsible party or disposed of properly.(9) An adult day services center located on the premises of and operated by a licensed nursing home, a licensed hospital, a licensed assisted-care living facility, a licensed home for the aged, or a licensed residential hospice shall be deemed to meet the requirements of this rule if, for its adult day services participants, it utilizes the same system for medication recordkeeping as it used for its other patients/clients/residents; provided, however, the records kept for the participants of the adult day services center shall be placed in individual files separate from the files of the other patients/clients/residents of the facility and shall include the information required by this section.(10) Medication records shall be made available to emergency medical personnel whether treatment is rendered on site or participant is transported to a health care facility.Tenn. Comp. R. & Regs. 1240-07-10-.13
Original rule filed December 14, 1999; effective 2/27/2000. Repeal and new rule filed February 23, 2018; effective 5/24/2018. Amendments filed October 25, 2022; effective 1/23/2023.Authority: T.C.A. §§ 4-5-201, et seq.; and 71-2-401, et seq.