NAC435.675. Administration of medication.

     1. A member of the direct support staff of a provider of supported living arrangement services may administer medication to persons receiving supported living arrangement services if the member has successfully completed a program concerning the administration of medication which is approved by the Division.

     2. A person who is receiving supported living arrangement services may have his or her medication administered by:

     (a) A provider of health care; or

     (b) A member of the direct support staff of a provider of supported living arrangement services who has successfully completed a program concerning the administration of medication which is approved by the Division if:

          (1) The member of the direct support staff administers the medication according to the instructions of a provider of health care;

          (2) The person, or his or her parent or guardian, as applicable, provides written authorization to receive medication from a member of the direct support staff of the provider of supported living arrangement services in accordance with NRS 453.375 and 454.213; and

          (3) The person submits to a physical examination by his or her provider of health care on an annual basis and the provider of health care determines that the person is medically cleared to receive medication from the member of the direct support staff.

     3. A member of the direct support staff of a provider of supported living arrangement services who has successfully completed a program concerning the administration of medication which is approved by the Division:

     (a) May administer medication pursuant to this section;

     (b) Must refer a person who is receiving supported living arrangement services to a provider of health care if:

          (1) The medical condition of the person changes or the person develops a new or additional medical condition;

          (2) The medication prescribed by the provider of health care does not accomplish the objectives of the medication, as identified by the provider of health care, after the medication has been administered according to the prescription;

          (3) Any emergency situation develops; or

          (4) The provider of health care of the person instructs the member of the direct support staff to refer the person to the provider of health care; and

     (c) Shall not administer:

          (1) Any medication to a person who has been admitted to a medical facility;

          (2) Any medication which requires dose titration or an assessment of the needs of the person who is receiving supported living arrangement services concerning the medication;

          (3) Any substance which is categorized as a controlled substance in schedule II by the Office of Diversion Control of the Drug Enforcement Administration of the United States Department of Justice pursuant to 21 C.F.R. § 1308.12;

          (4) Any opioid agonist medication;

          (5) Any extended release medication which must be crushed, cut or otherwise altered before the administration of the medication; or

          (6) Any nutrition or medication which is prescribed by a provider of health care to be administered enterally.

     4. As used in this section:

     (a) “Direct support staff” means any member of the staff of a provider of supported living arrangement services who works directly with a person with mental retardation or a person with a related condition to provide supported living arrangement services.

     (b) “Provider of health care” means:

          (1) A physician licensed pursuant to chapter 630, 630A or 633 of NRS;

          (2) A dentist licensed pursuant to chapter 631 of NRS;

          (3) A registered nurse licensed pursuant to chapter 632 of NRS;

          (4) An advanced practitioner of nursing certified pursuant to chapter 632 of NRS;

          (5) A physician assistant licensed pursuant to chapter 630 of NRS; or

          (6) An osteopathic physician assistant certified pursuant to chapter 633 of NRS.

     [Men. Hygiene & Men. Retardation Div., Residences § 37, eff. 2-5-82]—(NAC A by Div. of Men. Health & Dev. Services by R071-06, 11-13-2006)