Pa. Code 5310.171

Medication

This section requires Community Residential Rehabilitation Service (CRRS) programs to establish written medication policies and procedures covering consent requirements, physician instructions, storage, logging, and monthly review of psychotropic drug plans for children in their care. Staff and surrogate parents may only administer medication with written parental and custodial agency consent and under a physician's written instructions. All medications must be stored securely, and a permanent medication log must be maintained for each child. This section supersedes the prior medication provision at § 5310.81.

55 Pa. Code § 5310.171 - Medication 

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(a)
 The community
 residential rehabilitation service (CRRS) programs must establish and implement
 written policies and procedures regarding medications which meet legal
 restrictions regarding administration of medications and which shall cover the
 following requirements: 
(1)
 Staff and
 surrogate parents may administer medication to a child only with the written
 consent of the child's parent and the agency having custody of the child, if
 applicable, and under the written instructions of the physician who prescribes
 the medication.

(2)
 The attending
 physician shall provide the staff or surrogate parent with written instructions
 which must contain the following information: 
 
(i)
 Name of child.

(ii)
 Name of medication-brand name and/or
 generic name.

(iii)
 Type of
 medication, for example, liquid or tablets.

(iv)
 Dosage to be given per
 administration.

(v)
 Number and time
 of administrations per day.

(vi)

 Ending date of medication administration, if applicable.

(vii)
 Possible side effects of the
 medication.

(viii)
 Instructions in
 the event of serious reactions.

(ix)
 Emergency phone numbers.

(x)
 Special instructions, for example, take
 with meal, take on an empty stomach, do not take with citrus juice.

(xi)
 Signature of the physician.

(3)
 The written consent of the
 parent and the agency having custody of the child, if applicable, must specify
 all information contained in the physician's written instruction form and may
 consist of signing the same form.

(4)
 All medications must be kept in their
 original prescription containers.

(5)
 All medication must be stored in a locked
 container or a container in a locked room. When medication must be
 refrigerated, it must be kept in a locked box in the refrigerator.

(6)
 A permanent log must be maintained for
 each child indicating:
(i)
 Name of medication
 given.

(ii)
 Dosage level
 given.

(iii)
 Time given.

(iv)
 Date given.

(v)
 Person administering the
 medication.

(vi)
 Number of tablets
 with dosage of each specified.

(7)
 When a child is receiving psychotropic
 drugs, the prescribing physician shall review the drug plan once a
 month.

(b)
 This section
 supersedes §
 
5310.81
 (relating to
 medication).

Notes

55

 Pa. Code §
 
5310.171

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