AUTHORITY The following rules and regulations for the - Arkansas ...

600 MEDICATIONS
601 ADMINISTRATION
8. Other foods may be added to the meal to provide personal satisfaction, additional
nutrition and calories.
9. Meals shall provide variety in foods, seasonably adapted, and be prepared in a
manner which conserves nutrient value.
10. Home canned food shall not be used.
601.1 Each residential long term care facility must have written policies and procedures to assure
residents receive medications as appropriate. In-service training on facility medications policies
and procedures (see Section 308.4) shall be provided at least annually for all facility employees
supervising medications.
601.2 Facilities must comply with applicable state laws and regulations governing the dispensing of
medications and restrictions applicable to non-licensed personnel. The facility owner(s),
employees or others acting on behalf of the facility are prohibited from administering,
repackaging or relabeling any resident medication.
601.3 The facility shall document in the resident's record whether the resident or the facility is
responsible for storing the resident's medication.
601.4 Residents must be familiar with their medications and comprehend administration instructions.
Facility staff shall provide assistance to enable residents to self-administer medications. For
clarification, examples of acceptable practices are listed below:
a. The resident may be reminded of the time to take the medication;
b. The medication regimen on the container label may be read to the resident;
c. In the presence of the resident, facility staff may remove the container cap or loosen the
packaging, but the resident must actually remove the medication from the container;
d. A larger sterile container may be provided to the resident if needed to prevent spillage.
Such containers must not be shared by residents and must be sterilized daily.
601.5 Changes in dosage or schedule of the medication shall be made only upon the written
authorization of the resident's attending physician.
601.6 Facility personnel may perform emergency or first-aid procedures as specified below:
a. Emergencies are defined as those measures necessary to prevent death or trauma until
such time that the resident can be transported to the appropriate medical facility;
b. First-aid measures will be defined as temporary procedures necessary to relieve trauma or
injury by applying dressing and/or band aids;
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Residential Care Facilities R. 08/01/07