Subdivision 1.Administration of medications.

A license holder must employ or contract with a registered nurse to develop the policies and procedures for medication administration. A registered nurse must provide supervision as defined in section 148.171, subdivision 23, for the administration of medications. For clinically managed programs, the registered nurse supervision must include on-site supervision at least monthly or more often as warranted by the health needs of the patient. The medication administration policies and procedures must include:

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Terms Used In Minnesota Statutes 245F.13

  • Administration of medications: means performing a task to provide medications to a patient, and includes the following tasks performed in the following order:

    (1) checking the patient's medication record;

    (2) preparing the medication for administration;

    (3) administering the medication to the patient;

    (4) documenting administration of the medication or the reason for not administering the medication as prescribed; and

    (5) reporting information to a licensed practitioner or a registered nurse regarding problems with the administration of the medication or the patient's refusal to take the medication. See Minnesota Statutes 245F.02

  • Contract: A legal written agreement that becomes binding when signed.
  • Licensed practitioner: means a practitioner as defined in section 151. See Minnesota Statutes 245F.02
  • Nurse: means a person licensed and currently registered to practice practical or professional nursing as defined in section 148. See Minnesota Statutes 245F.02
  • Patient: means an individual who presents or is presented for admission to a withdrawal management program that meets the criteria in section 245F. See Minnesota Statutes 245F.02

(1) a provision that patients may carry emergency medication such as nitroglycerin as instructed by their prescriber;

(2) requirements for recording the patient’s use of medication, including staff signatures with date and time;

(3) guidelines regarding when to inform a licensed practitioner or a registered nurse of problems with medication administration, including failure to administer, patient refusal of a medication, adverse reactions, or errors; and

(4) procedures for acceptance, documentation, and implementation of prescriptions, whether written, oral, telephonic, or electronic.

Subd. 2.Control of drugs.

A license holder must have in place and implement written policies and procedures relating to control of drugs. The policies and procedures must be developed by a registered nurse and must contain the following provisions:

(1) a requirement that all drugs must be stored in a locked compartment. Schedule II drugs, as defined in section 152.02, subdivision 3, must be stored in a separately locked compartment that is permanently affixed to the physical plant or a medication cart;

(2) a system for accounting for all scheduled drugs each shift;

(3) a procedure for recording a patient’s use of medication, including staff signatures with time and date;

(4) a procedure for destruction of discontinued, outdated, or deteriorated medications;

(5) a statement that only authorized personnel are permitted to have access to the keys to the locked drug compartments; and

(6) a statement that no legend drug supply for one patient may be given to another patient.