Minnesota Administrative Rules

4668.0865 CENTRAL STORAGE OF MEDICATION.

Subpart 1.

Scope.

This part applies to a class F home care provider licensee that provides central storage of medications.

Subp. 2.

Nursing assessment and service plan.

For a client for whom medications will be centrally stored, a registered nurse must conduct a nursing assessment of a client's functional status and need for central medication storage, and develop a service plan for the provision of that service according to the client's needs and preferences. The service plan must include the frequency of supervision of the task and of the person providing the service for the client according to part 4668.0845. The service plan for central storage of medication must be maintained as part of the service plan required under part 4668.0815.

Subp. 3.

Control of medications.

A.

A registered nurse or pharmacist must establish and maintain a system that addresses the control of medications, handling of medications, medication containers, medication records, and disposition of medications.

B.

The system must contain at least the following provisions:

(1)

a statement of whether the staff will provide medication reminders, assistance with self-administration of medication, medication administration, or a combination of those services;

(2)

a description of how the distribution and storage of medications will be handled, including a description of suitable storage facilities;

(3)

the procedures for recording medications that clients are taking;

(4)

the procedures for storage of legend and over-the-counter drugs;

(5)

a method of refrigeration of biological medications; and

(6)

the procedures for notifying a registered nurse when a problem with administration, record keeping, or storage of medications is discovered.

Subp. 4.

Over-the-counter drugs.

An over-the-counter drug may be retained in general stock supply and must be kept in the original labeled container.

Subp. 5.

Legend drugs.

A legend drug must be kept in its original container bearing the original prescription label with legible information stating the prescription number, name of drug, strength and quantity of drug, expiration date of a time-dated drug, directions for use, client's name, prescriber's name, date of issue, and the name and address of the licensed pharmacy that issued the medications.

Subp. 6.

Medication samples.

A sample of medication provided to a client by an authorized prescriber may be used by that client, and must be kept in its original container bearing the original label with legible directions for use. If assistance with self-administration of medication or medication administration is provided by the class F home care provider licensee, a client's plan of care must address the use of a medication sample.

Subp. 7.

Prohibitions.

No legend drug supply for one client may be used or saved for the use of another client.

Subp. 8.

Storage of drugs.

A class F home care provider licensee providing central storage of medications must store all drugs in locked compartments under proper temperature controls and permit only authorized nursing personnel to have access to keys.

Subp. 9.

Storage of Schedule II drugs.

A class F home care provider licensee providing central storage of medications must provide separately locked compartments, permanently affixed to the physical plant or medication cart, for storage of controlled drugs listed in Minnesota Statutes, section 152.02, subdivision 3.

Subp. 10.

Schedule of fines.

For a violation of the following subparts, the stated fine shall be assessed:

A.

subpart 2, $350;

B.

subpart 3, $300;

C.

subpart 4, $300;

D.

subpart 5, $300;

E.

subpart 6, $300;

F.

subpart 7, $300;

G.

subpart 8, $300; and

H.

subpart 9, $300.

Statutory Authority:

MS s 144A.45

History:

24 SR 141; L 2006 c 282 art 19 s 19

Published Electronically:

July 3, 2013