| (A) A facility must provide a locked area for all medications,
which may include:
(i) a central storage area; and
(ii) a medication cart.
(B) A facility must store an individual's medication
separately from other individuals' medications within the storage
area.
(C) A facility 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) A facility must store poisonous substances and
medications labeled for "external use only" separately within the
locked area.
(E) A facility 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.
(6) Disposal.
(A) A facility must keep medication that is no longer
being used by an individual for the following reasons separate from
current medications and ensure the medication is disposed of by a
registered pharmacist licensed in the State of Texas:
(i) the medication has been discontinued by order of
the physician;
(ii) the individual is deceased; or
(iii) the expiration date of the medications has passed.
(B) A facility must dispose of needles and hypodermic
syringes with needles attached as required by 25 TAC, Chapter 1,
Subchapter K (relating to the Definition, Treatment, and Disposition
of Special Waste from Health Care-Related Facilities).
(C) A facility must obtain a signed receipt from an
individual or the individual's responsible party if the facility releases
medication to the individual or responsible party.
(g) Accident, injury, or acute illness.
(1) A facility must stock and maintain in a single
location first aid supplies to treat burns, cuts, and poisoning.
(2) In the event of accident or injury to an individual
requiring emergency medical, dental, or nursing care, or in the event
of death of an individual, a facility must:
(A) make arrangements 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 physician and
responsible party, or agency who admitted the individual to the facility;
and
(C) describe and document the accident, injury, or
illness on a separate report. The report must contain a statement
of final disposition and be maintained on file.
(h) Menus.
(1) A facility must plan, date, and post a menu at
least two weeks in advance and maintain a copy of the menu. A facility
must serve meals according to approved menus.
(2) A facility must ensure that a special diet meal
ordered by an individual's physician and developed by the dietician
consultant is labeled with the individual's name and type of diet.
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| Source Note: The provisions of this §559.62 adopted to be effective May 1, 1999, 24 TexReg 3100; amended to be effective November 1, 2000, 25 TexReg 10753; amended to be effective December 1, 2016, 41 TexReg 9327; amended to be effective October 28, 2018, 43 TexReg 7210; transferred effective January 15, 2021, as published in the Texas Register December 18, 2020, 45 TexReg 9249 |
