Cal. Code Regs. Tit. 22, § 87921 - PRN Medications

(a) The licensee shall be permitted to accept or retain a resident who requires PRN medications (as needed medications) including prescription or nonprescription medications under one of the following circumstances:

(1) The resident is able to determine his/her own need for the PRN medication.

OR

(2) There is a Registered Nurse or a Licensed Vocational Nurse on the facility premise and available to make the determination for the PRN medication if the resident cannot determine his/her own need prior to each dose being taken by the resident.

OR

(3) A physician is contacted to make the determination for the PRN medication if the resident cannot determine his/her own need prior to each dose being taken by the resident.

(b) There shall be written detailed instructions on the prescription label for all PRN medications, including the symptoms which might require the use of the medication, the exact dose, exact time frames between doses and the maximum dosage to be taken in a 24-hour period.

(c) In addition to Section 87878, if a resident cannot determine his/her own need for a PRN medication, the licensee shall be responsible for the following:

(1) Documenting date and time of the contacts with the physician.

(2) Maintaining a record that indicates the name of the PRN medication and the date and time the PRN medication was taken and the resident's response.

OR

(3) When the determination regarding the PRN medication is made by the Registered Nurse or Licensed Vocational Nurse who is on the premises, there shall be documentation by the registered nurse or licensed vocational nurse regarding:

(A) Date and time the medication was administered.

(B) Effects of medication.

Notes

Cal. Code Regs. Tit. 22, § 87921

1. New section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order including amendment of subsection (c)(3) transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
4. Editorial correction of subsection (c) (Register 2002, No. 14).

Note: Authority cited: Section 1568.072, Health and Safety Code. Reference: Sections 1568.03 and 1568.072, Health and Safety Code.

1. New section filed 6-7-91 as an emergency; operative 6-7-91 (Register 91, No. 38). A Certificate of Compliance must be transmitted to OAL by 10-7-91 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-3-91 as an emergency; operative 12-3-91 (Register 92, No. 9). A Certificate of Compliance must be transmitted to OAL 4-1-92 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-3-91 order including amendment of subsection (c)(3) transmitted to OAL 4-1-92 and filed 5-13-92 (Register 92, No. 23).
4. Editorial correction of subsection (c) (Register 2002, No. 14).