OAR 416-340-0050: Intra-muscular (IM) Injections

(1) IM injections may be administered only by a physician, nurse practitioner, Registered Nurse (RN), or Licensed Practical Nurse (LPN). (2) Except in an emergency as determined by a qualified physician, prescribed medication will not be administered IM, unless given in a clinical facility equipped to deal with possible adverse effects. (3) No youth in custody will receive an IM injection of major tranquilizing drugs unless a physician authorizes its use prior to each injection. Exception: When a physician finds a series of IM injections are necessary for treatment, a new prescription will not be required for each injection, provided that: (a) If a series of shots are given within any 24-hour period, the youth in custody, at the end of that period, will be evaluated by the physician to determine whether a transfer to a psychiatric facility would be in the youth in custody’s best interests. (b) A new prescription will be written for any additional series of injections at the end of each 24-hour period. (4) Routine injections may be authorized by a physician and are not subject to requirements of this section.