Section R432-200-19 - Medication Administration(1) A licensee may not use standing orders for medications, treatments or laboratory services. The licensee shall write individual orders per resident for these items.(2)(a) The licensee shall ensure that medication and treatment practices comply with this section.(b) Medication or treatment may not be administered except on the order of a person lawfully authorized to give such order.(c) Medication and treatment are administered as prescribed and according to facility policy.(d) Any medication and treatment is administered by a licensed physician or licensed nurse.(e) A student doctor or nurse may administer medication and treatment only in the course of study and when supervised by a licensed instructor or designated staff.(f) Monitoring of vital signs and other observations done in conjunction with the administration of medication are carried out as ordered by the physician or practitioner and as indicated by accepted professional practice.(g) Doses are not prepared for more than one scheduled time of administration.(h) Medication is administered when ordered or as soon thereafter as possible but no more than two hours after the dose has been prepared.(i) Medication is administered by the same person who prepared the dose for administration.(j) Residents are identified before the administration of any drug or treatment.(k) Medication is not used for any resident other than the resident for whom it was prescribed.(l) If the person that prescribed a medication does not limit the duration of the drug order or the number of doses, the licensee's automatic stop-order policy indicates how long a drug may be administered. The licensee shall ensure the prescriber is notified before any medication is discontinued.(m) Each order for treatment or therapy contains: (i) the name of the treatment or therapy;(ii) the frequency and time to be administered;(iii) the length of time the treatment or therapy is to continue;(iv) the name and professional title of the practitioner who gave the order;(v) the date of order; and(vi) signature of the person prescribing the treatment or therapy.(n) Each nursing staff member complies with the provisions for administration of medication according to standards and ethics of the profession.(o) Injectable medications are administered only by authorized personnel or: (i) if a physician certifies that a resident is capable of administering their own insulin or oral medications, the resident may self-inject the prescribed insulin or self-administer the prescribed medications; and(ii) the physician's order, authorizing the resident's self-administration of medications, is documented and available for departmental review.Utah Admin. Code R432-200-19
Amended by Utah State Bulletin Number 2024-03, effective 1/22/2024