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EVALUATOR MANUAL

GENERAL LICENSING REQUIREMENTS

The physician’s order for the specified medication to be crushed. The order must include the following:

a.

The dosage amount.

b.

The timeframe for giving the medication, i.e., when and how often.

A consent form that gives authorization for medication(s) to be crushed, signed by one of the following:

a.

The client, if not conserved.

b.

The client who has a conservator, but whose conservator does not have authority over the client’s medical decisions.

c.

The client’s/child’s conservator who has authority over the client’s/child’s medical decisions.

d.

The child’s authorized representative. This approval may be contained in the child’s needs and services plan.

Documentation of the licensee’s/facility administrator’s consultation with a pharmacist or treating physician, provided orally or in writing, that includes the following:

a.

The name of the pharmacist/treating physician, the name of the business, and the date of the conversation.

b.

The pharmacist’s/physician’s statement that the medication can be safely crushed without losing effectiveness.

c.

Identification of foods and liquids that can be mixed with the medication.

d.

Instructions for crushing and mixing the medication.

2.

3.

1.

No exception from licensing is required to crush a client’s/child’s medication, if the following written documentation is in the client’s/child’s file.

80075

80075

HEALTH-RELATED SERVICES (Continued)

(b)(3)

POLICY (Continued)

______________________________________________________________________________

08GLR-02

May 2008

94

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