La. Admin. Code tit. 22 § I-907

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-907 - Role/Functions of Unlicensed Trained Employees Administering Medications [Formerly Section 507]

A. Unlicensed trained employees assume responsibility and accountability for procedures as taught in the course for the administration of medications.

1. Authorized functions of unlicensed trained employees administering medication are to:

a. receive medication and verify that the label on the medication matches the order on file for the juvenile;

b. store the medication in the appropriate designated place;

c. administer oral medications, topical medications, or pre-measured inhalants as prescribed, unless otherwise indicated;

d. document and maintain on the juvenile's medical record:

i. receipt, storage, and disposal of medication;

ii. daily record of administration of medication to the juvenile, including the name, time, medication, dose, route, date, person administering the medication, and observation of desired and adverse effects or unusual occurrences;

iii. appropriate vital signs as indicated by the authorized prescriber and/or knowledge of the drug;

e. report immediately to the registered nurse, physician, or director of the juvenile detention center any discrepancy in the controlled substance drug count;

f. request in writing the desire to have a witness to the procedure(s) or to withdraw the request for a witness;

g. report immediately to the registered nurse, physician, or director of the juvenile detention center any unusual signs, symptoms, or occurrences;

h. seek guidance from the registered nurse or physician when uncertain about medications.

2. Prohibited Functions of Unlicensed Trained Employees Regarding Medication Administration. The unlicensed trained employee shall not:

a. administer medication by intramuscular, intravenous, or subcutaneous route (other than emergency medication which shall be delineated by the registered nurse in consultation with the physician and the juvenile);

b. administer medication by the oral inhalant aerosol route without additional training, documented competency and supervision;

c. receive or assume responsibility for accepting any written or oral and/or telephone orders from an authorized prescriber or any other person;

d. alter medication dosage as delivered from the pharmacy;

e. administer medication to any person other than the juveniles in the specific detention center for which training has occurred;

f. administer any medication when there is indication that the medication has been inappropriately dispensed by the pharmacist or mishandled by other individuals;

g. refuse once trained and all required conditions as defined in RS 15:911 are met, to administer medication without a written excuse from either the physician or the registered nurse.

La. Admin. Code tit. 22, § I-907

Promulgated by the Department of Public Safety and Corrections, Office of the Secretary and Department of Health and Hospitals, Board of Nursing, LR 28:1785 (August 2002).

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:918(K), and 15:911.