| (a) The facility must establish drug administration
procedures to ensure that:
(1) drugs to be administered are checked against the
physician's orders;
(2) the resident is identified before the administration
of a drug;
(3) each resident has an individual medication record,
where the dose of drug administered is properly recorded by the person
who administered the drug;
(4) drugs and biologicals are prepared and administered
by the same person, except under unit-of-use package distribution
systems and as outlined in §19.418 of this title (relating to
Self-Administration of Drugs); and
(5) drugs prescribed for one resident must not be
administered to any other person.
(b) The facility nursing staff must report drug errors
and adverse drug reactions to the resident's physician in a timely
manner, as warranted by an assessment of the resident's condition,
and record them in the resident's record. An incident report must
be completed in accordance with §19.1923 of this title (relating
to Incident or Accident Reporting). Medication errors include, but
are not limited to, administering the wrong medication, administering
at the wrong time, administering the wrong dosage strength, administering
by the wrong route, omitting a medication, and/or administering to
the wrong resident.
(c) Nursing facilities must have current medication
reference texts or sources, including information on pediatric medications,
dosages, sites, routes, techniques of drug administration, desired
effects, and possible side effects, if facilities have pediatric residents.
(d) A licensed nurse may exercise professional judgment
in the crushing of a medication, providing that the medication is
not a time-released or enteric coated medication.
(1) If there is any question about crushing a medication
for a resident, the licensed nurse must check with the treating physician,
dispensing pharmacist, or consultant pharmacist.
(2) The crushed medication should be administered as
soon as feasible once it has been added to another substance.
|
| Source Note: The provisions of this §554.1508 adopted to be effective May 1, 1995, 20 TexReg 2054; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871 |
