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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 559DAY ACTIVITY AND HEALTH SERVICES REQUIREMENTS
SUBCHAPTER HINDIVIDUALIZED SKILLS AND SOCIALIZATION PROVIDER REQUIREMENTS
DIVISION 3PROVIDER REQUIREMENTS
RULE §559.227Program Requirements
Texas Register

      (ii) a physician has delegated the assistance and related tasks as a medical act to the individualized skills and socialization provider under Texas Occupations Code Chapter 157, as documented by the physician.

    (B) An individualized skills and socialization provider must record an individual's medications, including over-the-counter medications, on the individual's medication profile record. The recorded information must be obtained from the prescription label and must include the medication name, strength, dosage, doses received, directions for use, route of administration, prescription number, pharmacy name, and the date each medication was issued by the pharmacy.

  (2) General.

    (A) An individualized skills and socialization provider must immediately report to an individual's program provider any unusual reactions to a medication or treatment.

    (B) When an individualized skills and socialization provider supervises or administers medications, the individualized skills and socialization provider must document in writing if an individual does not receive or take the medication and treatment as prescribed. The documentation must include the date and time the dose should have been taken, and the name and strength of medication missed.

  (3) Storage.

    (A) An individualized skills and socialization provider must provide a locked area for all medications, which may include:

      (i) a central storage area; or

      (ii) a medication cart.

    (B) An individualized skills and socialization provider must store an individual's medication separately from other individuals' medications within the storage area.

    (C) An individualized skills and socialization provider must store medication requiring refrigeration in a locked refrigerator that is used only for medication storage or in a separate, permanently attached, locked medication storage box in a refrigerator.

    (D) An individualized skills and socialization provider must store poisonous substances and medications labeled for "external use only" separately within the locked area.

    (E) An individualized skills and socialization provider must store drugs covered by Schedule II of the Controlled Substances Act of 1970 in a locked, permanently attached cabinet, box, or drawer that is separate from the locked storage area for other medications.

(m) Accident, injury, or acute illness.

  (1) An individualized skills and socialization provider must stock and maintain in a single location in the on-site individualized skills and socialization location first aid supplies to treat burns, cuts, and poisoning.

  (2) An individualized skills and socialization provider delivering off-site individualized skills and socialization must ensure first aid supplies to treat burns, cuts, and poisoning are immediately available at all times during service provision.

  (3) In the event of accident or injury to an individual requiring emergency care, or in the event of death of an individual, an individualized skills and socialization provider must:

    (A) arrange for emergency care or transfer to an appropriate place for treatment, including:

      (i) a physician's office;

      (ii) a clinic; or

      (iii) a hospital;

    (B) immediately notify an individual's program provider with which the individualized skills and socialization provider contracts to provide services to the individual; and

    (C) describe and document the accident, injury, or illness on a separate report containing a statement of final disposition and maintain the report on file.

(n) An individualized skills and socialization provider must create and enforce written policies and procedures for infection control, including spread of disease to ensure staff compliance with state law, the Occupational Safety and Health Administration, and the Centers for Disease Control and Prevention.


Source Note: The provisions of this §559.227 adopted to be effective January 1, 2023, 47 TexReg 8709

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