Minnesota Administrative Rules

2945.5450 DELIVERY, SUPERVISION, AND CONTROL OF MEDICATION.

Subpart 1.

Prescription medication.

Facility policy shall prohibit stock supplies of prescription medications.

Subp. 2.

Delivery by unlicensed staff.

The delivery of prescription medications by unlicensed staff must be under the direction of a physician.

Subp. 3.

Policy for storage, delivery, and control of medication.

A facility administrator shall develop procedures for the secure storage of medication. The policy must include at a minimum the following storage requirements:

A.

medication be stored in a locked area;

B.

the storage area be kept locked at all times;

C.

medication requiring refrigeration be refrigerated and secured;

D.

detainees not be permitted in the medication storage area;

E.

only staff authorized to deliver medication may have access to keys for the medication storage area;

F.

prescribed medication be kept in its original container, bearing the original label; and

G.

poisons and medication intended for external use be clearly marked and stored separately from medication intended for internal use.

Subp. 4.

Procedures for delivery of medication.

A.

Each facility must adopt procedures for the delivery of medication.

B.

The procedures must include the following:

(1)

requirements that medication administered by injection must be administered by a physician, registered nurse, or licensed practical nurse. Diabetics under physician order and direct staff supervision must be permitted to self-administer insulin;

(2)

requirements that no detainee while receiving prescription medication may receive any nonprescription medication without the approval of the attending physician;

(3)

procedures for reporting to the physician any adverse reactions to drugs. Any reports shall be included in the detainee's file;

(4)

procedures for reporting the attending physician a detainee's refusal of prescription medication, and an explanation made in the detainee's record;

(5)

procedures for ensuring that no detainee is deprived of medication as prescribed because of penalty or staff retaliation;

(6)

procedures that prohibit the delivery of medication by detainees; and

(7)

procedures for verifying prescription medication before administering the medication.

C.

Procedures must also include at a minimum the following:

(1)

medication delivered to a detainee is to be self-administered under staff supervision;

(2)

there is to be a means for the positive identification of the recipient of medication;

(3)

procedures and records to assure that medication is delivered in accordance with physician instructions, and by whom; and

(4)

procedures for confirming that medication delivered for oral ingestion has been ingested.

Subp. 5.

Records of receipt; disposition of medication.

Records of receipt, the quantity of the medication, and the disposition of prescription medication must be maintained in sufficient detail to enable an accurate accounting.

Subp. 6.

Medication given to detainee upon release.

Prescription medication belonging to a detainee must be given to the detainee or to the appropriate authority upon transfer or release and shall be recorded in the detainee's file.

Subp. 7.

Destruction of medication.

The destruction of medication on expiration dates or when retention is no longer necessary or suitable must be consistent with requirements of the Pollution Control Agency. A notation of the destruction must be made in the detainee's record and a statement of what was destroyed, who destroyed it, and how it was destroyed.

Statutory Authority:

MS s 241.021

History:

17 SR 711; 39 SR 1203

Published Electronically:

March 2, 2015