NAC432A.585. Procedures for use and administration of medication.

Procedures for the use and administration of medication in a facility that provides care for ill children must include the following provisions:

     1. Except as otherwise provided in this subsection, only the director or a person designated by the director may administer medication to a child or provide assistance to a child who administers medication to himself or herself.

     2. All prescription medications must be:

     (a) Authorized by a physician;

     (b) In the original container which must have a child-proof lid;

     (c) Labeled with the name of the child, the date and directions for administration; and

     (d) Refrigerated, if required.

     3. All nonprescription medications must be:

     (a) Authorized by a physician, health care provider or emergency care provider;

     (b) Labeled with the name of the child, the date and directions for administration;

     (c) Refrigerated, if required; and

     (d) Kept in a container which has a child-proof lid.

     4. Except as otherwise provided in subsection 10, the director may administer medication to a child after receiving an oral order from a physician if the director requests a written confirmation of the order from the physician.

     5. Except as otherwise provided in subsection 6, all medications must be locked and inaccessible to children.

     6. Medications that require refrigeration must be kept separate from food and inaccessible to children.

     7. Unused medication must be returned to a parent and outdated medicine must be discarded.

     8. The director shall post a chart in a conspicuous place that includes:

     (a) Information on the health and medication of the children in the facility; and

     (b) A record of the administration of medication of each child.

     9. A member of the staff shall note in the record of a child and the director shall advise a parent of:

     (a) All medication administered to a child; and

     (b) The occurrence of any health problem, including diarrhea, vomiting, continuous hunger, refusal to eat, a nosebleed, a skin rash or high temperature.

     10. Only persons trained in the administration of medication by a health care professional or a parent of a child cared for in a facility and authorized pursuant to NRS 453.375 or 454.213 may administer medication to the child.

     (Added to NAC by Bd. for Child Care, eff. 3-11-92; A by R112-06, 4-23-2009)