rules and regulations for assisted living facilities level ii - Arkansas ...

1. Physician’s orders;
2. Manufacturer’s specifications (not recommendations) regarding
the preparation and administration of the drug or biological; or,
3. Accepted professional standards and principles which apply to
professionals providing services. Accepted professional standards
and principles include the various practice regulations in Arkansas,
and current commonly accepted health standards established by
national organizations, boards, and councils.
Medication error rate means the percentage of both significant and nonsignificant
medication errors. Significant medication error means one
which causes the resident discomfort or jeopardizes his or her health and
safety. Whether a medication error is significant is determined by
consideration of the resident’s condition, the drug category, and the
frequency of the error. Non-significant medication error means a
medication error that does not meet the definition of a significant
medication error.
c. Determining medication error rate
The medication error rate is determined by dividing the number of errors
by the opportunities for errors and multiplying the result by 100, and is
expressed as Medication Error Rate = (Number of Errors Observed / the
Opportunities for Errors) X 100. The Number of Errors Observed is the
total number of errors that the survey team observes, both significant and
non-significant. The Opportunities for Errors includes all the doses the
observed being administered plus the doses ordered but not administered.
703.1.3 The facility shall document in the resident’s record whether the resident or
the facility is responsible for storing the resident’s medication.
703.1.4 The facility shall document in the resident’s record whether the resident
will self-administer medication or the facility will administer medication
to the resident.
703.1.5 Residents who have been assessed to manage their medications must be
familiar with their medications and comprehend administration
instructions.
703.1.6 Facility staff shall provide assistance to enable residents to manage their
medications. For clarification, examples for acceptable practices are listed
below:
1. The medication regimen on the container label may be read to
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Assisted Living Facilities Level II R. 08/01/11