Cal. Code Regs. Tit. 22, § 76876 - Nursing Services-Administration of Medications and Treatments
(a) Medications and
treatments shall be given only on the order of a person lawfully authorized to
prescribe.
(b) Medications and
treatments shall be administered as prescribed and shall be recorded in the
unit client record. The name, title of the person administering the medication
or treatment, the date, time and dosage of the medication administered shall be
recorded. Initials may be used provided the signature of the person
administering the medication or treatment is recorded on the medication or
treatment record.
(c) Preparation
of dosages for more than one scheduled administration time shall not be
permitted.
(d) Persons
administering medications shall confirm each client's identity prior to the
administration.
(e) Medications
shall be administered within two (2) hours after dosages are prepared and shall
be administered by the same person who prepared the dosages. Dosages shall be
administered within one (1) hour of the prescribed time unless otherwise
indicated by the prescriber.
(f)
All medications shall be administered only by those persons specifically
authorized to do so by their respective practice act with the following
exception:
(1) Direct care staff, who are so
designated by the facility registered nurse, may administer medications, except
injections, provided the individual has successfully completed a program in
medication administration either through a college system or through the
facility medication training program taught by the facility registered nurse
and/or consultant pharmacist. The medication training program shall include,
but not be limited to the following:
(A) Use,
action and side effects of drugs used in the facility.
(B) General practices, procedures and
techniques for administering oral, rectal, eye, ear, nose, and topical
medications.
(C) Prescriber's
verbal orders.
(D) Automatic stop
orders.
(E) Medication storage and
labeling.
(F) Disposition of unused
and outdated medications.
(G)
Requirements for documentation of medications and treatments.
(H) Requirements for documentation and
physician notification of medication errors.
(I) Metric and apothecary dosages.
(J) Commonly used abbreviations.
(K) Locating and using reference
materials.
(2) Successful
completion of a college based or facility medication training program shall be
documented in the employee's training record.
(3) The facility registered nurse shall
observe and certify the staff person's proficiency in handling, administering
and recording of drugs given, and shall document the proficiency in the staff
person's training record.
(g) No medication shall be administered to or
used by any client other than the client for whom the medication was
prescribed.
(h) Medication errors
and adverse drug reactions shall be recorded and reported immediately to the
practitioner who ordered the drug or another practitioner responsible for the
medical care of the client. Minor adverse reactions which are identified in the
literature accompanying the product as a usual or common side effect, need not
be reported to the practitioner immediately, but in all cases shall be recorded
in the client's record. Medication errors include, but are not limited to, the
failure to administer a drug ordered by a prescriber within one (1) hour of the
time prescribed, administration of any drugs other than that prescribed, or the
administration of a dose not prescribed.
Notes
Note: Authority cited: Sections 208.4 and 1267.7, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
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