S.C. Code Regs. § ch. 61, 61-125, 61-125.1200, 61-125.1203

Current through Register Vol. 48, No. 11, November 22, 2024

Subsection 61-125.1203 - Administering Medication and/or Treatments. (I)

A. Doses of medication shall be administered by the same nurse who prepared them for administration. Preparation shall occur no earlier than one (1) hour prior to administering. Preparation of doses for more than one (1) scheduled administration shall not be permitted. Each treatment or medication dose administered shall be recorded on the patient's medication administration record ("MAR") as it is administered, or treatment administration record ("TAR") after it is rendered. Should an ordered dose of medication or treatment not be administered or rendered, an explanation as to the reason shall be recorded on the MAR or TAR. The MAR shall be documented to include the medication name, dosage, mode of administration, date and time of administration, and the signature of the nurse administering the medication. If the ordered dosage is to be given on a varying schedule, for example, "take two tablets the first day and one tablet every other day by mouth with noon meal," the number of tablets shall also be recorded. The TAR shall be documented to include the type of treatment, date and time of treatment, and the signature of the nurse rendering the treatment.

B. A facility nurse may monitor patient blood sugar levels provided the facility has received a "Certificate of Waiver" from the Clinical Laboratories Improvement Amendments ("CLIA").

C. Self-administering of medications by a patient is permitted only:

1. Upon the specific written orders of the physician or other authorized healthcare provider; and

2. The facility shall ascertain by patient demonstration to the staff and document that she or he remains capable of self-administering medications.

D. A facility may prohibit self-administration of medications and treatments.

E. At each shift change, there shall be a documented review of the MARs by the incoming and outgoing nurses to verify that medications were administered in accordance with orders, and the administrations were documented. All errors and/or omissions indicated on the MARs shall be addressed and corrective action taken at that time.

S.C. Code Regs. ch. 61, 61-125, 61-125.1200, 61-125.1203

Added by State Register Volume 43, Issue No. 05, eff. 5/24/2019.