(a) The license holder is responsible for providing health services assigned in the service plan and consistent with the person's health needs. The license holder is responsible for promptly notifying the person or the person's legal representative and the case manager of changes in a person's physical and mental health needs affecting assigned health services, when discovered by the license holder, unless the license holder has reason to know the change has already been reported. The license holder must document when the notice is provided.
(b) When assigned in the service plan, the license holder is required to maintain documentation on how the person's health needs will be met, including a description of the procedures the license holder will follow in order to:
(1) provide medication administration, medication assistance, or medication management according to this chapter;
(2) monitor health conditions according to written instructions from the person's physician or a licensed health professional;
(3) assist with or coordinate medical, dental, and other health service appointments; or
(4) use medical equipment, devices, or adaptive aides or technology safely and correctly according to written instructions from the person's physician or a licensed health professional.
(a) The license holder must ensure that the following criteria have been met before staff that is not a licensed health professional administers medication or treatment:
(1) written authorization has been obtained from the person or the person's legal representative to administer medication or treatment orders;
(2) the staff person has completed medication administration training according to section 245D.09, subdivision 4, paragraph (c), clause (2); and
(3) the medication or treatment will be administered under administration procedures established for the person in consultation with a licensed health professional. Written instruction from the person's physician may constitute the medication administration procedures. A prescription label or the prescriber's order for the prescription is sufficient to constitute written instructions from the prescriber. A licensed health professional may delegate medication administration procedures.
(b) The license holder must ensure the following information is documented in the person's medication administration record:
(1) the information on the prescription label or the prescriber's order that includes directions for safely and correctly administering the medication to ensure effectiveness;
(2) information on any discomforts, risks, or other side effects that are reasonable to expect, and any contraindications to its use;
(3) the possible consequences if the medication or treatment is not taken or administered as directed;
(4) instruction from the prescriber on when and to whom to report the following:
(i) if the medication or treatment is not administered as prescribed, whether by error by the staff or the person or by refusal by the person; and
(ii) the occurrence of possible adverse reactions to the medication or treatment;
(5) notation of any occurrence of medication not being administered as prescribed or of adverse reactions, and when and to whom the report was made; and
(6) notation of when a medication or treatment is started, changed, or discontinued.
(c) The license holder must ensure that the information maintained in the medication administration record is current and is regularly reviewed with the person or the person's legal representative and the staff administering the medication to identify medication administration issues or errors. At a minimum, the review must be conducted every three months or more often if requested by the person or the person's legal representative. Based on the review, the license holder must develop and implement a plan to correct medication administration issues or errors. If issues or concerns are identified related to the medication itself, the license holder must report those as required under subdivision 4.
The license holder must ensure that the requirements of subdivision 2, paragraph (a), have been met when staff provides assistance to enable a person to self-administer medication when the person is capable of directing the person's own care, or when the person's legal representative is present and able to direct care for the person.
The following medication administration issues must be reported to the person or the person's legal representative and case manager as they occur or following timelines established in the person's service plan or as requested in writing by the person or the person's legal representative, or the case manager:
(1) any reports made to the person's physician or prescriber required under subdivision 2, paragraph (b), clause (4);
(2) a person's refusal or failure to take medication or treatment as prescribed; or
(3) concerns about a person's self-administration of medication.
Injectable medications may be administered according to a prescriber's order and written instructions when one of the following conditions has been met:
(1) a registered nurse or licensed practical nurse will administer the subcutaneous or intramuscular injection;
(2) a supervising registered nurse with a physician's order has delegated the administration of subcutaneous injectable medication to an unlicensed staff member and has provided the necessary training; or
(3) there is an agreement signed by the license holder, the prescriber, and the person or the person's legal representative specifying what subcutaneous injections may be given, when, how, and that the prescriber must retain responsibility for the license holder's giving the injections. A copy of the agreement must be placed in the person's service recipient record.
Only licensed health professionals are allowed to administer psychotropic medications by injection.
Official Publication of the State of Minnesota
Revisor of Statutes