Title Medication – Labeling and Orders
Statute or Rule 58A-5.0185(7) FAC
(7) MEDICATION LABELING AND ORDERS.
(a) The facility may not store prescription drugs for self-administration, assistance with self-administration, or administration unless it is properly labeled and dispensed in accordance with Chapters 465 and 499, F.S., and Rule 64B16-28.108, F.A.C. If a customized patient medication package is prepared for a resident and separated into individual medicinal drug containers, then the following information must be recorded on each individual container: 1. The resident ‘ s name; and
2. Identification of each medicinal drug in the container.
(b) Except with respect to the use of pill organizers as described in subsection
(2), no individual other than a pharmacist may transfer medications from one storage container to another.
(c) If the directions for use are ” as needed ” or ” as directed, ” the health care provider must be contacted and requested to provide revised instructions. For an ” as needed ” prescription, the circumstances under which it would be appropriate for the resident to request the medication and any limitations must be specified; for example, ” as needed for pain, not to exceed 4 tablets per day. ” The revised instructions, including the date they were obtained from the health care provider and the signature of the staff who obtained them, must be noted in the medication record, or a revised label must be obtained from the pharmacist.
(d) Any change in directions for use of a medication for which the facility is providing assistance with self-administration or administering medication must be accompanied by a written medication order issued and signed by the resident ‘ s health care provider or a faxed or electronic copy of such order. The new directions must promptly be recorded in the resident ‘ s medication observation record. The facility may then place an ” alert ” label on the medication container that directs staff to examine the revised directions for use in the medication observation record or obtain a revised label from the pharmacist.
(e) A nurse may take a medication order by telephone. Such an order must be promptly documented in the resident ‘ s medication observation record. The facility must obtain a written medication order from the health care provider within 10 working days. A faxed or electronic copy of a signed order is acceptable.
(f) The facility must make every reasonable effort to ensure that prescriptions for residents who receive assistance with self-administration of medication or medication administration are filled or refilled in a timely manner.
(g) Pursuant to Section 465.0276(5), F.S., and Rule 61N-1.006, F.A.C., sample or complimentary prescription drugs that are dispensed by a health care provider, must be kept in their original manufacturer ‘ s packaging, which must include the practitioner ‘ s name, the resident ‘ s name for whom they were dispensed, and the date they were dispensed. If the sample or complimentary prescription drugs are not dispensed in the manufacturer ‘ s labeled package, they must be kept in a container that bears a label containing the following:
1. Practitioner ‘ s name;
2. Resident ‘ s name;
3. Date dispensed;
4. Name and strength of the drug;
5. Directions for use; and
6. Expiration date. (h) Pursuant to Section 465.0276(2)(c), F.S., before dispensing any sample or complimentary prescription drug, the resident ‘ s health care provider must provide the resident with a written prescription, or a faxed or electronic copy of such order.