Section R432-270-19 - Medication Administration(1) A licensed health care professional shall assess each resident to determine what level and type of assistance is required for medication administration. The health care professional shall document the level and type of assistance the health care professional provides in each resident's assessment.(2) The licensee shall ensure each resident's medication program is administered by one of the methods described Subsections R432-270-19(2) through (9).(3) A resident assessed to be able to self-administer medication may keep prescription medications in their room.(4) If more than one resident resides in a unit, the licensee shall ensure each person's ability is assessed to safely have medications in the unit. If safety is a factor, the licensee shall ensure a resident stores their medication in a locked container in the unit.(5)(a) A resident may be assessed to be able to self-direct medication administration.(b) Facility staff may assist a resident assessed to self-direct medication by: (i) reminding the resident to take the medication;(ii) opening medication containers; and(iii) reminding the resident or the resident's responsible person when the prescription needs to be refilled.(6)(a) A resident may be assessed to allow family members or a designated responsible person to administer medications.(b) If a family member or designated responsible person assists with medication administration, the licensee shall ensure they sign a waiver indicating that they agree to assume the responsibility to fill prescriptions, administer medication, and document that the medication has been administered.(c) Facility staff may not serve as the designated responsible person.(7)(a) A resident may be assessed as unable to self-administer or self-direct medications.(b) Facility staff may administer medications only after delegation by a licensed health care professional under the scope of their practice.(c) If a licensed health care professional delegates the task of medication administration to unlicensed assistive personnel, the licensee shall ensure the delegation is in accordance with Title 58, Chapter 31b, Nurse Practice Act and Section R156-31B-701.(d) The licensee shall ensure medications are administered according to the prescribing order.(e) The delegating authority shall provide and document supervision, evaluation, and training of unlicensed assistive personnel assisting with medication administration.(f) The delegating authority or another registered nurse shall be readily available either in person or by telecommunication.(8) A resident may independently administer their own personal injections if they have been assessed to be independent in that process. This may be done in conjunction with the administration of medication in methods Subsections R432-270-19(3) through (6).(9) Home health or hospice agency staff may provide medication administration to facility residents exclusively, or in conjunction with Subsections R432-270-19(2) through (9).(10) The licensee shall ensure a licensed health care professional or licensed pharmacist reviews resident medications at least every six months.(11) The licensee shall ensure that medication records include the following: (b) the name of the prescribing practitioner;(c) medication name including prescribed dosage;(d) the time, dose, and dates administered;(e) the method of administration;(f) signatures of personnel administering the medication; and(12)(a) The licensee shall ensure that a licensed health care professional or licensed pharmacist documents any change in the dosage or schedule of medication in the medication record.(b) When the facility staff documents changes in the medication, the licensed health care professional shall co-sign within 72 hours.(c) The licensee shall ensure that the licensed health care professional notifies unlicensed assistive personnel who administer medications of the medication change.(13) The licensee shall have access to a reference for possible reactions and precautions for prescribed medications in the facility.(14) The licensee shall ensure the licensed health care professional is notified when medication errors occur.(15) The licensee shall ensure that medication error incident reports are completed if a medication error occurs or is identified.(16) The licensee shall incorporate medication errors into the facility quality improvement process.(17) The licensee shall ensure that medications stored in a central storage area are: (a) locked to prevent unauthorized access; and(b) available for the resident to have timely access to the medication.(18) The licensee shall ensure medications that require refrigeration are stored separately from food items and at temperatures between 36 - 46 degrees Fahrenheit.(19) The licensee shall ensure policies governing the following are developed and implemented: (a) security and disposal of controlled substances by the licensee or facility staff that are consistent with the Code of Federal Regulations, Title 21, Chapter II, Part 1307; and(b) destruction and disposal of unused, outdated, or recalled medications.(20) The licensee shall ensure the return of resident's medication to the resident or to the resident's responsible person is documented upon discharge.Utah Admin. Code R432-270-19
Amended by Utah State Bulletin Number 2016-4, effective 1/28/2016Amended by Utah State Bulletin Number 2017-1, effective 12/6/2016Amended by Utah State Bulletin Number 2017-5, effective 2/13/2017Amended by Utah State Bulletin Number 2018-3, effective 1/11/2018Amended by Utah State Bulletin Number 2020-19, effective 9/15/2020Amended by Utah State Bulletin Number 2023-22, effective 11/9/2023