A license holder must employ or contract with a registered nurse to develop the policies and procedures for medication administration. A registered nurse must provide supervision as defined in section 148.171, subdivision 23, for the administration of medications. For clinically managed programs, the registered nurse supervision must include on-site supervision at least monthly or more often as warranted by the health needs of the patient. The medication administration policies and procedures must include:
(1) a provision that patients may carry emergency medication such as nitroglycerin as instructed by their prescriber;
(2) requirements for recording the patient's use of medication, including staff signatures with date and time;
(3) guidelines regarding when to inform a licensed practitioner or a registered nurse of problems with medication administration, including failure to administer, patient refusal of a medication, adverse reactions, or errors; and
(4) procedures for acceptance, documentation, and implementation of prescriptions, whether written, oral, telephonic, or electronic.
A license holder must have in place and implement written policies and procedures relating to control of drugs. The policies and procedures must be developed by a registered nurse and must contain the following provisions:
(1) a requirement that all drugs must be stored in a locked compartment. Schedule II drugs, as defined in section 152.02, subdivision 3, must be stored in a separately locked compartment that is permanently affixed to the physical plant or a medication cart;
(2) a system for accounting for all scheduled drugs each shift;
(3) a procedure for recording a patient's use of medication, including staff signatures with time and date;
(4) a procedure for destruction of discontinued, outdated, or deteriorated medications;
(5) a statement that only authorized personnel are permitted to have access to the keys to the locked drug compartments; and
(6) a statement that no legend drug supply for one patient may be given to another patient.