N.H. Admin. Code § He-M 1201.04

Current through Register No. 50, December 12, 2024

Section He-M 1201.04 - Medication Administration

(a) Administration of medications to individuals shall be performed by authorized providers or licensed persons only.

(b) All individuals shall be initially assessed by a nurse trainer to determine the level of support needed specific to medication administration.

(c) The assessment pursuant to (b) above shall include the individual's:

(1) Medication order(s) and medications prescribed;

(2) Health status and health history; and

(3) Ability to self-administer medications as outlined in He-M 1201.05(b).

(d) If a guardian with authority to make health care decisions has been appointed for an individual, the provider agency shall obtain the consent of the guardian prior to the implementation of medication orders.

(e) Authorized providers shall maintain a copy of the guardian's consent, including the current contact information for the guardian, in the individual's record.

(f) Authorized providers shall administer only those medications for which there is an unexpired medication order.

(g) Authorized providers shall maintain a copy of each individual's medication orders in the individual's record.

(h) Medication orders and protocols shall be valid for no more than one year unless otherwise specified by the prescribing practitioner.

(i) Authorized providers shall administer PRN medication in accordance with:

(1) A medication order; and

(2) PRN protocols that shall include:

a. The specific condition(s) for which the medication is ordered;

b. A maximum daily dosage;

c. The interval between doses;

d. Any special instructions approved by a nurse trainer or prescribing practitioner, and

e. Review by a nurse trainer in accordance with the orders of the prescribing practitioner, but no less frequently than 2 years from the date of the protocol.

(j) Authorized providers shall administer medications only to the individuals to whom they are regularly assigned or about whom they have current knowledge relative to the individual's medication regimes.

(k) The authorized provider shall obtain information specific to each medication prior to administration of medication, including, at a minimum:

(1) The purpose and effect(s) of the medication;

(2) Response time of the medication;

(3) Possible side effects, adverse reactions, and symptoms of overdose;

(4) Possible medication interactions; and

(5) Special storage or administration procedures.

(l) In the event of discovery of a medication error, or of a medication refusal, an authorized provider shall:

(1) Consult immediately with a nurse trainer or licensed designee or the individual's prescribing practitioner or licensed designee concerning any actions to be taken;

(2) Document each medication error or individual's refusal pursuant to He-M 1201.07(k) immediately upon discovery of the medication error or the individual's refusal; and

(3) Forward the documentation to the nurse trainer within 24 hours.

(m) In those cases where an individual has a history of medication refusal, immediate consultation and documentation pursuant to (l) above shall not be necessary if a plan has been written by the authorized provider and nurse trainer that includes the actions to be taken to address the refusal and has been approved by the prescribing practitioner and, if applicable, the individual's guardian.

(n) The authorized provider shall maintain copies of medication errors and medication refusal reports in each individual's record.

(o) A family residence certified as a community residence pursuant to He-M 1001where no more than one individual is receiving services from an area agency, medication administration shall comply with He-M 1201. Nur 404 may only be utilized by the nurse trainer in situations where there is no medication trained provider available, and the provider shall become certified pursuant to He-M 1201.06 within 60 days of being authorized under Nur 404.

N.H. Admin. Code § He-M 1201.04

(See Revision Note at part heading for He-M 1201) #4809, eff 5-1-90; ss by #6000, eff 3-21-95; ss by #7836, INTERIM, eff 3-22-03, EXPIRES: 9-18-03; ss by #7956, eff 9-19-03; ss by #9982, eff 9-19-11 (from He-M 1201.03 )

Amended by Volume XXXIX, Number 41, Filed October 10, 2019, Proposed by #12876, Effective 9/25/2019, Expires 3/23/2020.

Amended by Volume XL Number 28, Filed July 9, 2020, Proposed by #13057, Effective 6/17/2020, Expires 6/17/2030