D.C. Mun. Regs. tit. 22, r. 22-B3521
The CRFPID shall comply with all federal and local laws and regulations relating to controlled substances.
Drugs shall be administered to persons only by licensed physicians, licensed nurses, or professional licensees whose license or certification authorizes the administration of medication(s).
A registered nurse or physician shall assess each person's capability to selfadminister medications. The assessment shall reflect the person's skills and abilities and shall determine whether technology can be used to promote selfmanagement. Assessment findings shall be available to the IDT for determining the person's training and support needs, in accordance with Subsection 3519.6.
If the IDT determines that self-medication is an appropriate objective based on the assessment, the CRFPID shall obtain a physician's order indicating that the person may engage in self-medication training.
All drugs shall be administered in accordance with physician orders.
All drug orders must be documented on a physician order form, signed and dated by the physician or advanced practice registered nurse within twenty-four (24) hours for all controlled substances and psychotropic medications, and within ten (10) calendar days for other drugs.
A pharmacist, physician, or advanced practice registered nurse shall review each person's complete drug regimen whenever the drug regimen is changed, to ensure that the person is being provided medication as prescribed.
The RN or LPN shall report any irregularities in the person's drug regimen to the primary care physician. An "irregularity" is any deviation from the person's prescribed schedule or dosage, and shall be recorded in the person's record.
The CRFPID shall maintain an accurate medication administration record for each person, including a daily log of all medications administered or refused by the person, and medication not administered due to lack of availability. The log shall identify who administered the medication. Each record shall be kept current and updated as necessary.
The CRFPID shall maintain in one central location on site all current prescriptions and physician orders.
Medication requiring refrigeration shall be maintained in a separate and secure medication refrigerator.
Each medication shall be stored in its original container and shall not be transferred to another container by the CRFPID or taken or used by another person. All medications given to persons to be taken outside of the CRFPID's control (for example, if the person is going home on a visit) must be pre-packaged by a pharmacist.
Each medication shall be stored under proper conditions of light and temperature as indicated on its label.
Each CRFPID shall promptly and appropriately dispose prescribed medications that are discontinued by the physician or has reached the expiration date in accordance with Title 22-B DCMR Chapter 5 Safe Disposal of Unused Pharmaceuticals in Health Care Facilities.
Upon discharge or transfer from a CRFPID, all medications currently prescribed and a copy of the person's medication record shall be given to the person or authorized medical decision maker, or forwarded to any other residential setting to which the person is transferred.
Any CRFPID to which a person is transferred shall ensure that it receives a copy of the medication record, all medications currently prescribed, and a reconciliation and accounting of all medication.
In the event of a medication error or drug reaction, the person's physician shall be notified as soon as possible. Any errors or reactions shall be documented in the person's medication record.
Upon the death of a person, all medication shall be retained by the CRFPID until it has been determined that disposal would be in accord with the investigation and reporting of deaths under the jurisdiction of the Medical Examiner.
All prescriptions for controlled substances and psychotropic medications shall be written with an expiration date, which shall not exceed thirty (30) days from the date prescribed and in accordance with D.C. Law 2-137, the Citizens with Intellectual Disabilities Constitutional Rights and Dignity Act of 1978 (D.C. Official Code § 7-1301.01 et seq .).
Medication shall not be used as a punishment, for the convenience of staff, as a substitute for programs, or in quantities that interfere with the person's habilitation program.
The CRFPID shall maintain records of receipt and disposition of all controlled substances.
D.C. Mun. Regs. tit. 22, r. 22-B3521