Minnesota Legislature
Office of the Revisor of Statutes
Minnesota Administrative Rules
9530.6435 MEDICAL SERVICES.
Subpart 1.
Health care services description.
An applicant or license holder must maintain a complete description of the health care services, nursing services, dietary services, and emergency physician services offered by the license holder.
Subp. 1a.
Procedures.
The applicant or license holder must have written procedures for obtaining medical interventions when needed for a client, that are approved in writing by a physician who is licensed under Minnesota Statutes, chapter 147, unless:
B.
all medical interventions are referred to 911, the emergency telephone number, or the client's physician.
Subp. 2.
Consultation services.
The license holder must have access to and document the availability of a licensed mental health professional to provide diagnostic assessment and treatment planning assistance.
Subp. 3.
Administration of medications and assistance with self-medication.
A license holder must meet the requirements in items A and B if services include medication administration.
A.
A staff member, other than a licensed practitioner or nurse, who is delegated by a licensed practitioner or a registered nurse the task of administration of medication or assistance with self-medication must:
(1)
document that the staff member has successfully completed a medication administration training program for unlicensed personnel through an accredited Minnesota postsecondary educational institution. Completion of the course must be documented in writing and placed in the staff member's personnel file; or
(2)
be trained according to a formalized training program which is taught by a registered nurse and offered by the license holder. Completion of the course must be documented in writing and placed in the staff member's personnel records; or
B.
A registered nurse must be employed or contracted to develop the policies and procedures for medication administration or assistance with self-administration of medication or both. A registered nurse must provide supervision as defined in part 6321.0100. The registered nurse supervision must include monthly on-site supervision or more often as warranted by client health needs. The policies and procedures must include:
(1)
a provision that delegations of administration of medication are limited to administration of those medications which are oral, suppository, eye drops, ear drops, inhalant, or topical;
(2)
a provision that each client's file must include documentation indicating whether staff will be administering medication or the client will be doing self-administration or a combination of both;
(3)
a provision that clients may carry emergency medication such as nitroglycerin as instructed by their physician;
(4)
a provision for medication to be self-administered when a client is scheduled not to be at the facility;
(5)
a provision that if medication is to be self-administered at a time when the client is present in the facility, medication will be self-administered under observation of a trained staff person;
(6)
a provision that when a license holder serves clients who are parents with children, the parent may only administer medication to the child under staff supervision;
(7)
requirements for recording the client's use of medication, including staff signatures with date and time;
(8)
guidelines for when to inform a registered nurse of problems with self-administration, including failure to administer, client refusal of a medication, adverse reactions, or errors; and
(9)
procedures for acceptance, documentation, and implementation of prescriptions, whether written, verbal, telephonic, or electronic.
Subp. 4.
Control of drugs.
A license holder must have in place and implement written policies and procedures developed by a registered nurse that contains the following provisions:
A.
a requirement that all drugs must be stored in a locked compartment. Schedule II drugs, as defined by Minnesota Statutes, section 152.02, must be stored in a separately locked compartment, permanently affixed to the physical plant or medication cart;
C.
a procedure for recording the client's use of medication, including the signature of the administrator of the medication with the time and date;
E.
a statement that only authorized personnel are permitted to have access to the keys to the locked drug compartments; and
History:
29 SR 129; 32 SR 2268
Published Electronically:
October 15, 2013
Official Publication of the State of Minnesota
Revisor of Statutes