Ariz. Admin. Code § 21-7-225

Current through Register Vol. 31, No. 2, January 10, 2025

Section R21-7-225 - Medications; Allergies

A. The licensee shall have a written policy and procedure that governs over-the-counter and prescription medication usage and shall specify:

1. Safe storage of medications as required by A.A.C. Title 21, Chapter 8, Article 1;

2. A process to identify and ensure a child in care has access to necessary medication while at school or outings; such as rescue inhalers, and auto injector pens;

3. The process for medication administration, which shall be in accordance with any applicable laws;

4. The qualifications of the staff allowed to administer medications;

5. The qualifications of the staff allowed to supervise the self-administration of medications;

6. The supervision, process, and documentation of self-administration of medication;

7. The documentation process for the administration of medication, medication errors, and drug reactions;

8. The process and documentation of notifying a child in care's health care provider in case of a medication error or a drug reaction; and

9. The process and documentation when a child in care refuses to take a prescribed medication.

B. The licensee shall have a written policy and procedure that governs food allergies, medication allergies, or other allergies and shall specify:

1. The plan in the event of the child in care's exposure to an allergen;

2. That a licensee disclose the child in care's known allergies to a prescribing medical professional prior to the prescription or administration of medication or any procedures; and

3. The precautions a licensee shall take to ensure the child in care is not exposed to a food or other allergen, including:

a. Safe food handling to minimize the chance of cross contamination, and

b. Review of household items to ensure that they do not include a substance to which a child is allergic.

C. The licensee shall have a written medication log for each child in care who receives medication. The log shall include:

1. Child's name;

2. Child's allergies;

3. Name of the prescribing medical professional;

4. Telephone number at which the prescribing medical professional may be reached in case of medical emergency;

5. Reason for each prescribed medication;

6. Date on which the medication was prescribed;

7. Generic or commercial name of the medication;

8. Dosage level and time of day when the medication is to be administered, including any special administration instructions;

9. Each date, time, and dosage administered;

10. Dosages remaining after each administration;

11. The signature of the direct care staff administering each dosage. If the medication is self-administered, the log shall include the signature of the child and the direct care staff supervising the child's self-administration; and

12. The signature of the direct care staff and child if a dose is refused by the child.

Ariz. Admin. Code § R21-7-225

New Section made by final rulemaking at 29 A.A.R. 2231, effective 11/6/2023.