Florida Regulations 65G-7.005: Medication Administration Procedures
Current as of: 2024 | Check for updates
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(1) Upon receipt of the Basic Medication Administration training certification and validation certification, MAPs are authorized to administer medications or to supervise the self-administration of medications via the following medication routes for which the MAP has been validated:
(a) Oral;
(b) Enteral, with the exception of prescribed enteral formulas;
(c) Transdermal;
(d) Otic;
(e) Ophthalmic;
(f) Rectal;
(g) Inhaled; and
(h) Topical.
(2) MAPs that have not completed the Prescribed Enteral Formula Administration Training and received the corresponding training certification and validation certification shall not administer Prescribed Enteral Formula.
(3) Licensed health care practitioners shall administer or supervise the self-administration of medications within their scope of practice.
(4) MAPs and licensed health care practitioners shall:
(a) Only provide administration of medication or supervision with self-administration of medications as prescribed or ordered by the client’s health care practitioner and which are properly labeled and dispensed in accordance with chapters 465 and 499, F.S. If multiple clients are prescribed identical OTC medications, the facilities may utilize a single stock container to provide the medications to multiple clients;
(b) Comply with new or changed orders for a specific medication, which override the previous orders for that medication. No order to discontinue the previous order is necessary;
(c) Comply with the time limit as provided for in time-limited orders (i.e. those that are ordered for a specific number of doses or days). Such orders do not require an order to discontinue at the completion of the time allotted in the time-limit;
(d) Before administering medication or supervising the self-administration of medication, become familiar with the client’s medical history and medication background and locate the name and contact numbers of the client’s prescribing practitioner for consultation regarding the prescribed medications;
(e) Perform appropriate hand sanitation measures before administering medication or supervising the self-administration of medication, with repeated sanitization as needed during medication administration;
(f) Assist only one client at a time with medication administration in a quiet location free from distraction;
(g) Only prepare medications for one client, at the time the medication is given;
(h) Following the administration of medication or supervision of self-administration of medication, return each client’s medication to its portable or permanent medication storage location before assisting another client;
(i) Call the client’s primary care provider within 24 hours to reconcile the client’s medications with those ordered upon the client’s discharge from any inpatient, emergency, or urgent care facility. This call must be documented, along with the primary care provider’s response, including any instructions for medication administration and follow up. The primary care provider’s failure to respond should also be documented, along with continued attempts to contact him or her. If no licensed person is present to take the instructions from the primary care provider, the MAP must also ask for faxed or electronically supplied instructions;
(j) Immediately report torn, damaged, illegible, or mislabeled prescription labels to the dispensing pharmacist and, if a client is residing in a residential facility, notify the facility supervisor;
(k) Check the directions and expiration date of each medication to ensure that expired medications (those which are no longer current) or those no longer prescribed are not administered;
(l) Continue to provide medications for which there is a current prescriber order and the medication is not expired, but the prescription itself is expired, until the current supply is exhausted, or, in the case of a PRN medication, for no longer than 6 months after the date the prescription expired;
(m) Verify that the correct medication is administered to the correct client, at the correct time, with the correct dosage, by the correct route, and for the correct reason, as prescribed by the health care practitioner;
(n) Observe complete ingestion of oral medication before leaving the client and before recording or documenting the administration of the medication on the MAR;
(o) Record the date, time, dosage, and name of each regularly scheduled medication or PRN medication on the MAR immediately following administration or supervision of self-administration and sign or initial the entries. For PRN medications, the MAP or licensed health care practitioner must also enter the reason for the medication on the back of the MAR (if using the APD MAR form adopted in Fl. Admin. Code R. 65G-7.008) or in a place provided for such an entry on a pharmacy-provided or electronic MAR;
(p)
(b) Enteral, with the exception of prescribed enteral formulas;
(c) Transdermal;
(d) Otic;
(e) Ophthalmic;
(f) Rectal;
(g) Inhaled; and
(h) Topical.
(2) MAPs that have not completed the Prescribed Enteral Formula Administration Training and received the corresponding training certification and validation certification shall not administer Prescribed Enteral Formula.
(3) Licensed health care practitioners shall administer or supervise the self-administration of medications within their scope of practice.
(4) MAPs and licensed health care practitioners shall:
(a) Only provide administration of medication or supervision with self-administration of medications as prescribed or ordered by the client’s health care practitioner and which are properly labeled and dispensed in accordance with chapters 465 and 499, F.S. If multiple clients are prescribed identical OTC medications, the facilities may utilize a single stock container to provide the medications to multiple clients;
(b) Comply with new or changed orders for a specific medication, which override the previous orders for that medication. No order to discontinue the previous order is necessary;
(c) Comply with the time limit as provided for in time-limited orders (i.e. those that are ordered for a specific number of doses or days). Such orders do not require an order to discontinue at the completion of the time allotted in the time-limit;
(d) Before administering medication or supervising the self-administration of medication, become familiar with the client’s medical history and medication background and locate the name and contact numbers of the client’s prescribing practitioner for consultation regarding the prescribed medications;
(e) Perform appropriate hand sanitation measures before administering medication or supervising the self-administration of medication, with repeated sanitization as needed during medication administration;
(f) Assist only one client at a time with medication administration in a quiet location free from distraction;
(g) Only prepare medications for one client, at the time the medication is given;
(h) Following the administration of medication or supervision of self-administration of medication, return each client’s medication to its portable or permanent medication storage location before assisting another client;
(i) Call the client’s primary care provider within 24 hours to reconcile the client’s medications with those ordered upon the client’s discharge from any inpatient, emergency, or urgent care facility. This call must be documented, along with the primary care provider’s response, including any instructions for medication administration and follow up. The primary care provider’s failure to respond should also be documented, along with continued attempts to contact him or her. If no licensed person is present to take the instructions from the primary care provider, the MAP must also ask for faxed or electronically supplied instructions;
(j) Immediately report torn, damaged, illegible, or mislabeled prescription labels to the dispensing pharmacist and, if a client is residing in a residential facility, notify the facility supervisor;
(k) Check the directions and expiration date of each medication to ensure that expired medications (those which are no longer current) or those no longer prescribed are not administered;
(l) Continue to provide medications for which there is a current prescriber order and the medication is not expired, but the prescription itself is expired, until the current supply is exhausted, or, in the case of a PRN medication, for no longer than 6 months after the date the prescription expired;
(m) Verify that the correct medication is administered to the correct client, at the correct time, with the correct dosage, by the correct route, and for the correct reason, as prescribed by the health care practitioner;
(n) Observe complete ingestion of oral medication before leaving the client and before recording or documenting the administration of the medication on the MAR;
(o) Record the date, time, dosage, and name of each regularly scheduled medication or PRN medication on the MAR immediately following administration or supervision of self-administration and sign or initial the entries. For PRN medications, the MAP or licensed health care practitioner must also enter the reason for the medication on the back of the MAR (if using the APD MAR form adopted in Fl. Admin. Code R. 65G-7.008) or in a place provided for such an entry on a pharmacy-provided or electronic MAR;
(p)