Cal. Code Regs. Tit. 22, § 72313 - Nursing Service-Administration of Medications and Treatments
(a) Medications and
treatments shall be administered as follows:
(1) No medication or treatment shall be
administered except on the order of a person lawfully authorized to give such
order.
(2) Medications and
treatments shall be administered as prescribed.
(3) Tests and taking of vital signs, upon
which administration of medications or treatments are conditioned, shall be
performed as required and the results recorded.
(4) Preparation of doses for more than one
scheduled administration time shall not be permitted.
(5) All medications and treatments shall be
administered only by licensed medical or licensed nursing personnel with the
following exceptions:
(A) Students in the
healing arts professions may administer medications and treatments only when
the administration or medications and treatments is incidental to their course
of study as approved by the professional board or organization legally
authorized to give such approval.
(B) Unlicensed persons may, under the direct
supervision of licensed nursing or licensed medical personnel, during training
or after completion of training and demonstrated evidence of competence,
administer the following:
1. Medicinal
shampoos and baths.
2. Laxative
suppositories and laxative enemas.
3. Nonlegend topical ointments, creams,
lotions and solutions when applied to intact skin surfaces. Unlicensed persons
shall not administer any medication associated with treatment of eyes, ears,
nose, mouth, or genitourinary tract.
(6) Medications shall be administered as soon
as possible, but no more than two hours after doses are prepared, and shall be
administered by the same person who prepares the doses for administration.
Doses shall be administered within one hour of the prescribed time unless
otherwise indicated by the prescriber.
(7) Patients shall be identified prior to
administration of a drug or treatment.
(8) Drugs may be administered in the absence
of a specific duration of therapy on a licensed prescriber's new drug order if
the facility applies its stop-order policy for such drugs. The prescriber shall
be contacted prior to discontinuing therapy as established by stop-order
policy.
(b) No medication
shall be used for any patient other than the patient for whom it was
prescribed.
(c) The time and dose
of the drug or treatment administered to the patient shall be recorded in the
patient's individual medication record by the person who administers the drug
or treatment. Recording shall include the date, the time and the dosage of the
medication or type of the treatment. Initials may be used, provided that the
signature of the person administering the medication or treatment is also
recorded on the medication or treatment record.
(d) Oxygen equipment shall be maintained as
follows:
(1) Humidifier bottles on oxygen
equipment shall be changed and sterilized at least every 24 hours.
(2) Only sterile distilled, demineralized or
de-ionized water shall be used in humidifier bottles.
Notes
Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
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