GENERAL LICENSING REQUIREMENTS
HEALTH-RELATED SERVICES (Continued)
Designated facility staff affix a colored label somewhere on the container but not covering the original label; this refers the person passing the medications to a notebook, card file, cardex or other record, where the new instructions have been written by the facility staff following the physician’s instructions to make the change. This contact may have been by telephone or in person.
The physician prepares a new prescription request or calls the pharmacy so that the container can be properly labeled when the prescription is refilled.
Insulin and other injectable medications shall be kept in their original containers until the prescribed single dose is measured into a syringe for immediate injection by the client or a licensed medical professional. Dosages may not be prepared or “set-up” in advance by filling one or more syringes with the prescribed dose and storing the medication in the syringes until needed. See Regulation Interpretations and Procedures for General Licensing Requirements Section 80092.8(a)(4).
When evaluating the storage and handling of insulin or other injectable medications, keep in mind that some medications may be packaged in premeasured doses in individual syringes. Check the container label(s) to be sure that the medication has not been set up in advance by someone other than a pharmacist or the manufacturer. See Regulation Interpretations and Procedures for General Licensing Requirements Section 80092.8(a)(4).
When an adult client leaves a facility for a short period of time during which only one dose of medication(s) is needed, the facility may give medication(s) to the client in an envelope (or similar container) labeled with the facility’s name and address, client’s name, name of medication(s) and instructions for administering the dose. If the client is to be gone for more than one dosage period, the facility may:
Give the full prescription container to the client, or
Have the pharmacy fill a separate prescription or separate the into two bottles, or
Have the client’s family obtain a separate supply of the medication for use when the client visits with the family.