Facility-Based Community Corrections

 

DEPARTMENT OF JUVENILE JUSTICE

Medical

RULE NO.:RULE TITLE:

63M-2.090Facility-Based Community Corrections

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 44 No. 236, December 6, 2018 issue of the Florida Administrative Register.

63M-2.090 Facility-Based Community Corrections

(1) No change.

(2) Each facility-based community program shall have in place procedures for the provision of medical care for youth in need of health care services while youth are physically present at the program.  These procedures include:

(a) through (c) No change.

(d) Medication management: When a youth is currently prescribed a medication that may be required to be provided while the youth is onsite, the program shall verify the prescription and obtain consent to provide the medication.  The parent(s) or legal guardian is responsible for supplying the youth’s medication.  Facility staff are responsible for ensuring ensuing any prescribed medications are obtained from the parent(s) or legal guardian.  Pursuant to Chapter 64B9-14, F.A.C., (Delegation to Unlicensed Assistive Personnel), a Registered Nurse may delegate non-licensed trained staff to assist the Registered Nurse or Licensed Practical Nurse with the youth’s self-administration of medication(s).

1. Facilities may utilize non-licensed staff to Non-licensed staff shall provide medications to youth for self-administration only when there is no licensed health care professional staff on-site, and only as authorized by Chapter 64B9-14, F.A.C.

2. Each facility shall implement training of non-licensed staff members and validation of his or her ability to assist with the delivery, supervision, and oversight of the youth’s self-administration of medication.

2.3. Training of non-licensed staff to assist youth with self-administration of oral medications shall only be conducted by a Registered Nurse or higher licensure level. A Registered Nurse or higher licensure level shall determine the trained non-licensed staff member’s competency.

3.4. The Registered Nurse must supervise the trained staff member by periodically performing direct observation of skills, inspecting the Medication Administration Record(s)/Medication Distribution Log (MAR/MDL) and the required documentation assigned to the staff member.

4. All medications shall have the pharmacy label with the youth’s identifying information and directions for the medication.  The medication shall be secured in an area designated for medication storage.

5. Information and directions from the prescription bottle shall be transferred to the MDL/MAR.  If directions are unclear, the pharmacy will be contacted for clarification.

6.5. The non-licensed staff member assisting youth with self-administration of medications shall not perform any additional facility duties during medication delivery.

7.6. The non-licensed staff member shall assist youth with self-administration of medication within one hour of the scheduled time of the ordered medication.

8.7. Self-administration of medications by non-licensed staff shall include, at a minimum, the following:

a. Assist no more than one youth at a time with medication;

b. Wash his or her hands prior to medication delivery;

c. Remove the prescription container from the storage area, holding the container;

d. Maintain control of the medication container at all times;

e. Direct the individual youth to approach the area for medication administration when called;

f. Compare the youth with the photograph attached to the MAR/MDL and confirm the youth’s identity verbally;

g. The youth and staff member together identify and verify the medication the youth is to take by checking the label and comparing the label to the MAR/MDL. The staff member shall not permit youth to take any medication that has a discrepancy between the medication prescription label and the MAR/MDL;

h. Confirm the allergy status of the youth as described in paragraph (2)(a) and ask whether question the youth is experiencing any of the side effects or adverse reactions indicated by the manufacturer about any possible side effects or adverse reactions to the medication;

i. Remove the medication from the container while the youth observes, and hand the youth the exact amount of ordered medication. When the medication is a liquid, the staff member shall pour the exact volume of liquid ordered into a measured container and hand it to the youth;

j. Directly observe that the youth swallows the medication; and

k. Both the youth and the staff member shall initial that the dosage was provided on the MAR/MDL.

9.8. The facility shall maintain a medication inventory process which shall include, at a minimum, the following components:

a. A perpetual and shift-to-shift inventory of all controlled substances.

b. A weekly accounting of the stored security, accountability and storage process for all prescription and non-prescription medications that will be provided to youth while at the facility.

c. Reporting criteria and methods of managing and investigating inventory discrepancies, including unexplained losses of controlled substances. Facilities shall notify the appropriate department branch regional staff of the unexplained loss.

(e) Infection control: Facilities shall have an infection control procedure to address federal and state regulation for potential bloodborne pathogens and OSHA requirements in accordance with 29 C.F.R. §1910.1030.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.64(2), 985.145, 985.18 FS. History–New__________ .