OAR 309-018-0190: Administration of Medications

The following guidelines shall be followed in policies on administration of medications in residential programs: (1) Medications prescribed for one individual may not be administered to or self-administered by another individual or program staff. (2) When an individual self-administers medication in a residential program, self-administration shall be approved in writing by a physician and closely monitored by the residential program staff. (3) No unused, outdated, or recalled drugs shall be kept in a program. On a monthly basis any unused, outdated, or recalled drugs shall be disposed of in a manner that assures they cannot be retrieved. (4) A written record of all disposal of prescription drugs in a residential program shall be maintained in the program and shall include: (a) A description of the drug, including the amount; (b) The individual for whom the medication was prescribed; (c) The reason for disposal; and (d) The method of disposal. (5) All prescription drugs stored in the residential program shall be kept in a locked stationary container. Medications requiring refrigeration shall be stored in a refrigerator using a locked container. (6) Written documentation of medications prescribed for the individual by an LMP shall be maintained in the Service Record. Documentation for each medication prescribed shall include the following: (a) A copy or detailed written description of the signed prescription order; (b) The name of the medication prescribed; (c) The prescribed dosage and method of administration; (d) The date medications were prescribed, reviewed, or renewed; (e) The date and the signature and credentials of program staff administering or prescribing medications; (f) Observed side effects including laboratory findings; and (g) Medication allergies and adverse reaction.