R381-70-17. Medications

  (1) Nonrefrigerated medications shall be stored at least 48 inches above the floor or shall be locked.

  (2) Refrigerated medications shall be stored at least 36 inches above the floor or shall be locked, and if liquid, they shall be stored in a separate leakproof container.

  (3) All over-the-counter and prescription medications supplied by parents shall:

  (a) be labeled with the child's full name,

  (b) be kept in the original or pharmacy container,

  (c) have the original label, and

  (d) have child-safety caps.

  (4) The provider shall have a written medication permission form completed and signed by the parent before administering any medication supplied by the parent for their child.

  (5) The medication permission form shall include:

  (a) the name of the child,

  (b) the name of the medication,

  (c) written instructions for administration, and

  (d) the parent signature and the date signed.

  (6) The instructions for administering the medication shall include:

  (a) the dosage,

  (b) how the medication will be given,

  (c) the times and dates to administer the medication, and

  (d) the disease or condition being treated.

  (7) If the provider supplies an over-the-counter medication for children's use, the medication shall not be administered to any child without previous parental consent for each instance it is given. The consent shall be:

  (a) prior written consent; or

  (b) verbal consent if the date and time of the consent is documented, and is signed by the parent upon picking up their child.

  (8) The staff member administering the medication shall:

  (a) wash their hands,

  (b) check the medication label to confirm the child's name if the parent supplied the medication,

  (c) check the medication label or the package to ensure that a child is not given a dosage larger than that recommended by the health care professional or manufacturer, and

  (d) administer the medication.

  (9) Immediately after administering a medication, the staff member giving the medication shall record the following information:

  (a) the date, time, and dosage of the medication given;

  (b) any errors in administration or adverse reactions; and

  (c) their signature or initials.

  (10) The provider shall report a child's adverse reaction to a medication or error in administration to the parent immediately upon recognizing the reaction or error, or after notifying emergency personnel if the reaction is life-threatening.

  (11) If the provider chooses not to administer medication as instructed by the parent, the provider shall notify the parent of their refusal to administer the medication before the time the medication needs to be given.

  (12) The provider shall keep a six-week record of medication permission and administration forms on-site for review by the Department.