5101:2-13-31 Administration of medication requirements for licensed type A homes.

(A) The type A home shall set its own policy regarding whether or not the home will administer medication. If a home chooses to administer medication, food supplements, or modified diets, the home shall meet the following requirements:

(1) The type A home shall secure and follow the written instructions of a licensed physician, an advanced practice nurse certified to prescribe medication, or a licensed dentist on the JFS 01217 "Request for Administration of Medication" (rev. 9/2005). All instructions on this form shall be followed. The home shall also secure written instructions from the parent or guardian on the form. A prescription label also serves as written instructions for medications and food supplements as long as the following are met:

(a) The label contains the child's full name, a current date (within the last twelve months), the exact dosage to be given and the means of administration;

(b) The prescription label is attached to the original container.

(2) Only fever and/or pain reducing medications that do not contain aspirin, or cough or cold medications that do not contain codeine, may be administered by the type A home, without written instructions from a licensed physician, if the following are met:

(a) The type A home secures and follows written instructions from the parent or guardian on the prescribed form provided by the department. These instructions do not exceed manufacturers' recommended dosages;

(b) Medication is in the original container with the original label attached. The label must specify appropriate dosages based on the child's age or weight;

(c) The full name of the child, who is to receive the medication, is printed on the container.

(d) The type A home administers the medication for no more than three consecutive days at one time.

(3) Type A homes may apply nonprescription topical products or lotions if the following are met:

(a) The type A home shall secure written instructions from the parent or guardian on the JFS 01217. The form shall be valid for no longer than twelve months; and

(b) The type A home shall follow manufacturers' guidelines regarding application; and

(c) When used for skin irritations, such as diaper rash, the topical product shall be applied by the home for no longer than fourteen consecutive days at any one period of use.

(B) When administering medication, food supplements, modified diets, the type A home shall:

(1) Assure that the medication, food supplement, or modified diet is not administered for any period of time beyond the date indicated by the physician, advanced practice nurse certified to prescribe medication, or licensed dentist, or for twelve months whichever comes first; and

(2) Designate individuals who will administer prescription and nonprescription medication. Any staff member can apply nonprescription topical products or lotions used as a preventative measure; and

(3) Verify each administration or application of medication by documenting it on the JFS 01217. Application of nonprescription topical products and lotions used only as a preventative measure does not need to be documented; and

(4) Assure that dosages administered by the type A home do not exceed prescribed dosages or manufacturers' recommended dosages; and

(5) Assure that a separate form is used for each medication to be administered; and

(6) Assure that completed forms be kept on file at the type A home for review by the department for at least one year following the administration of the medication, food supplement, or modified diet.

(C) When storing medications the type A home shall:

(1) Assure that all medication and food supplements are given directly to type A home personnel for immediate safe storage, except that an inhaler or medication may be available to a school child with a special health condition or in an emergency, in accordance with the home's policy as required in rule 5101:2-13-30 of the Administrative Code; and

(2) Assure that all type A home personnel are made aware of all school children who have immediate access to personal inhalers and that a JFS 01217 is completed for all school children who have immediate access to personal inhalers; and

(3) Refrigerate medication as needed immediately upon arrival at the type A home and store in a separate container to prevent contamination with foods; and

(4) Keep medications out of the reach of children; and

(5) Remove all medications from the type A home when they are no longer needed or if the label indicates that the medication has expired.

R.C. 119.032 review dates: 02/03/2010 and 02/01/2015
Promulgated Under: 119.03
Statutory Authority: 5104.011
Rule Amplifies: 5104.011
Prior Effective Dates: 9/5/86, 7/1/03, 9/1/05