| (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.
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