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4668.0860 MEDICATION AND TREATMENT ORDERS.

Subpart 1.

Scope.

This part applies to a class F home care provider licensee when an authorized prescriber orders a medication or treatment to be administered by the licensee.

Subp. 2.

Prescriber's order required.

There must be a written prescriber's order for a drug for which a class F home care provider licensee provides assistance with self-administration of medication or medication administration, including an over-the-counter drug.

Subp. 3.

Medication and treatment orders.

A medication or treatment must be administered by a nurse qualified to implement the order or by an unlicensed person under the direction of a nurse and the supervision of a registered nurse, according to part 4668.0845.

Subp. 4.

Authorizations.

An order for medication or treatment must be dated and signed by the prescriber, except as provided by subparts 6 and 7, and must be current and consistent with the nursing assessment required under part 4668.0855, subpart 2.

Subp. 5.

Content of medication orders.

An order for medication must contain the name of the drug, dosage indication, and directions for use.

Subp. 6.

Verbal orders.

Upon receiving an order verbally from a prescriber, a nurse must:

A.

record and sign the order; and

B.

forward the written order to the prescriber for the prescriber's signature no later than seven days after receipt of the verbal order.

Subp. 7.

Electronically transmitted orders.

A.

An order received by telephone, facsimile machine, or other electronic means must be kept confidential according to Minnesota Statutes, sections 144.291 to 144.298 and 144A.44.

B.

An order received by telephone, facsimile machine, or other electronic means must be communicated to the supervising registered nurse within one hour of receipt.

C.

An order received by electronic means, not including facsimile machine, must be immediately recorded or placed in the client's record by a nurse and must be countersigned by the prescriber within 62 days.

D.

An order received by facsimile machine must have been signed by the prescriber and must be immediately recorded or a durable copy placed in the client's record by a person authorized by the class F home care provider licensee.

Subp. 8.

Implementation of order.

When an order is received, the class F home care provider licensee or an employee of the licensee must take action to implement the order within 24 hours of receipt of the order.

Subp. 9.

Renewal of orders.

A medication or treatment order must be renewed at least every 12 months or more frequently as indicated by the nursing assessment required under part 4668.0855, subpart 2.

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, $350;

C.

subpart 4, $350;

D.

subpart 5, $350;

E.

subpart 6, $350;

F.

subpart 7, item A, $250;

G.

subpart 7, item B, $300;

H.

subpart 7, item C, $300;

I.

subpart 7, item D, $300;

J.

subpart 8, $500 per day; and

K.

subpart 9, $100.

Statutory Authority:

MS s 144A.45

History:

24 SR 141; L 2006 c 282 art 19 s 19; L 2007 c 147 art 10 s 15

Published Electronically:

July 3, 2013

Official Publication of the State of Minnesota
Revisor of Statutes