63M-2.022. Verification and Procurement of Medications Prescribed Prior to Admission

(1) Facility and/or Program staff must continue all currently prescribed medications to youth prior to entering the department’s custody.

(2) A duly licensed Physician, PA or ARNP must make all changes in medication regimens subsequent to an appropriate assessment. Under no circumstances may staff in a facility discontinue an appropriately prescribed medication that the youth is receiving upon admission.

(3) Upon admission to a facility, the youth and parent or guardian (if available), shall be interviewed about the youth’s current medications. Refer to required forms HS 051 (Probation Medical and Mental Health Clearance Form for Detention Centers) or HS 010 (Facility Entry Physical Health Screening for Residential Commitment Programs).

(4) Medication verification shall also take place during the completion of the Health-Related History, and/or the Comprehensive Physical Assessment.

(5) Only medications from a licensed pharmacy, with a current, patient-specific label intact on the original medication container may be accepted into a Department facility.

(6) Medications may not be administered unless all of the following have been met:

(a) The youth reports that he or she is taking a prescribed oral medication;

(b) Either the youth or the parent/guardian has brought the valid, patient-specific medication container to the facility;

(c) The substance in the medication container has been verified as the correct medication; and

(d) The medication is properly labeled.

(7) After medication verification, the Medication Receipt, Transfer, & Disposition Form (HS 053, September 2010) shall be completed, with copy of the form provided to the parent/guardian (when parent/guardian is available). The Medication Receipt, Transfer & Disposition Form (HS 053, September 2010) is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-03817 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399. The original form shall be a part of the Individual Health Care Record.

(8) If the prescription medication cannot be verified as authentic, the prescription and contents shall be verified by:

(a) Calling the pharmacy that dispensed the medication; or

(b) Calling the outside provider who prescribed the medication.

(9) Further medication verification requires DHA or physician designee, PA, or ARNP notification and a medical evaluation of the youth completed, with documentation in the Chronological Progress Notes.

(10) A Practitioner’s Order from the DHA or Physician Designee, PA or ARNP is required to resume the specified medications. The Practitioner’s Orders Form (HS 024, October 2006) shall be utilized, is incorporated into this rule and is available electronically at http://www.flrules.org/Gateway/reference.asp?No=Ref-03818 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399. The facility may utilize a form of their choice as long as the form includes all information required on the Practitioner’s Order Form that is incorporated by reference into Chapter 63M-2, F.A.C.

(11) Trained, non-licensed staff must verify the medications when youth are admitted to a facility and licensed nurses are not on duty.

(12) The Designated Health Authority or physician designee, PA or ARNP shall be notified when a youth with a medication has been admitted into the facility within 24 hours.

(13) Any contact made with the youth’s prescribing community practitioner(s) prior to admission shall be documented in the youth's Individual Health Care Record. This documentation shall include, at a minimum, the effectiveness of the currently prescribed medications, and side effects and/or precautions.

(14) Any medication that is not successfully verified will be destroyed and documented as such per Rule 63M-2.027, F.A.C.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.64(2), 985.145, 985.18 FS. History–New 3-16-14.