GENERAL LICENSING REQUIREMENTS
HEALTH-RELATED SERVICES (Continued)
Assistance with medications shall not include the actual administration of the medications by the licensee or facility staff to the clients. For example, assistance
includes passing oral medication Interpretations and Procedures for regarding crushing medications.
to clients for self-administration.
As needed or PRN medications are allowed in community care facilities only under the following circumstances:
When the client is mentally and physically capable of knowing that a dose of medication needed, and is capable of asking for it, or
When the doctor has written detailed instructions for the prescription label including symptoms that might require use of the medication, exact dosage to be given in a 24-hour period, facility staff shall telephone the doctor before each dose and explain the person’s symptoms and receive an order to assist the client in self-administration of that dose of medication.
The purpose of the detailed instructions on the prescription label is to enable the employee to know when to call the doctor to describe the client’s condition and have the doctor make the judgment that the drug is needed.
In order to demonstrate that the doctor has authorized the dose of medication, a written record must be placed in the client’s file by the person who talked to the doctor.
Facility staff are prohibited of a client’s condition, the
from taking any part, by advice or otherwise, in the diagnosis selection of a medication or the dosage to use to treat the opinion by the California Office of the Attorney General
(No. 87-106, June 15, constitutes treatment of do. This includes both and preparations.
1988) states that the making of such decisions for others others by means of drugs which only licensed practitioners may prescription drugs and nonprescription or over-the-counter drugs
Medication shall not be used by anyone other than the person for whom prescribed. If a client refuses to a take medication, it is the licensee’s responsibility to report it to the client’s physician and/or authorized representative.