GENERAL LICENSING REQUIREMENTS
HEALTH-RELATED SERVICES (Continued)
In community care facilities, injections may be self-administered by the clients. If the clients are unable to do so, injections shall only be administered by licensed medical professionals, such as physicians, licensed vocational nurses and registered nurses. The Board of Vocational Nurse and Psychiatric Technician Examiners interprets the Psychiatric Technician Law, Sections 2728 and 2728.5 of the California Business and Professionals Code, to mean that a licensed psychiatric technician may administer medication within their scope of practice. In settings outside of a health facility or State Developmental Center, a psychiatric technician can only administer subcutaneous and intramuscular injections to clients who are developmentally disabled or mentally disordered, provided the licensed psychiatric technician performs the procedure in accordance with a licensed physician’s order.
Only the client or a licensed medical professional shall mix medication to be injected or fill the syringe with the prescribed dose (“draw-up” the medication).
For information on how far in advance doses of insulin and other injectable medications can be prefilled in individual syringes by a pharmacy or the manufacturer (or, in the case of insulin only, a registered nurse), please see Regulation Interpretations and Procedures for General Licensing Requirements Section 80092.8(a)(4).
Suspected violations (e.g., scope of practice, ethics) under the authority of any non-CCL licensing entity (e.g., Board of Registered Nursing, Board of Vocational Nursing and Psychiatric Technicians) should be referred to the respective licensing board. Consult with a licensing supervisor prior to making this referral.
If unlicensed and/or unauthorized persons are administering injections, a notice of deficiency must be issued, citing California Code of Regulations Section 80075(b)(2).
Clients/children have a personal right to refuse medication, unless a guardian, conservator; child’s authorized representative, or other legal entity has been appointed who has authority over medical decisions. Therefore, medication may be crushed to enhance swallowing or taste, but never to disguise or “slip” it to a client/resident/child without his/her knowledge or the permission of a guardian/conservator/authorized representative who has authority over medical decisions.