GENERAL LICENSING REQUIREMENTS
HEALTH-RELATED SERVICES (Continued)
The following policy applies to the requirement for written instructions from a physician for a client’s/resident’s/child’s PRN medication(s):
The physician’s business stationery may substitute for the required prescription blank for every prescription PRN and nonprescription PRN medication.
A licensee may obtain faxed instructions from the client’s/resident’s physician when there are no written physician instructions on file. The fax must be of the physician’s business stationery or prescription blank.
A licensee may obtain written instructions from the client’s/resident’s/child’s treating physician for a nonprescription PRN medication before a client/resident/child shows a need for such medications.
Review the client’s/resident’s/child’s file to ensure that the physician’s written instructions are on a prescription blank, physician’s business stationery (or fax of either) and that the instructions contain the following information:
The documentation required by California Code of Regulations Section 80075(b).
The physician’s signature and the date of the instructions provided.
Specific information on how and when to take these prescription and
nonprescription PRN medications along with other medications (if applicable) that the client/resident/child is taking.
Special instructions for adult residential facilities and social rehabilitation facilities:
Review the client’s/resident’s file for the physician’s written statement that the client/resident can determine and communicate his/her need for a prescription or nonprescription PRN medication, or can communicate his/her symptoms clearly even though he/she is unable to determine his/her own need for a nonprescription PRN medication.