NAC450B.471. Administration: Reporting requirements; discarding of unused portion of unit dose.

     1. Each time an advanced emergency medical technician or registered nurse administers a controlled substance or an intermediate emergency medical technician, advanced emergency medical technician or registered nurse administers a dangerous drug, an entry must be made on the report of emergency care. The entry must contain:

     (a) The name of the medication administered;

     (b) The dose of the medication administered;

     (c) The route of administration;

     (d) The date and time of administration;

     (e) The name of the physician ordering the medication;

     (f) The signature or initials of the person who administered the medication and the emergency medical services number of that person;

     (g) If a registered nurse administered the medication, the emergency medical services number or license number of that nurse; and

     (h) The signature of the receiving physician or, if operating pursuant to written standing orders, the name of the medical director of the service or fire-fighting agency.

     2. If the entire amount of a unit dose of a controlled substance is not used when it is administered to a patient, the unused portion of that unit dose must be discarded. The discarding of the unused portion of the unit dose must be:

     (a) Verified by a witness, who shall sign a statement indicating the unused portion was discarded; and

     (b) Noted in the record for controlled substances.

     3. If any error is made in administering a medication or the patient has an unusual reaction to a medication, the intermediate emergency medical technician, advanced emergency medical technician or registered nurse who administered the medication shall immediately report the error or reaction to the receiving physician, and when applicable, to the physician who ordered the medication. The error or adverse reaction must be entered on the report of emergency care.

     (Added to NAC by Bd. of Health, eff. 8-1-91; A by R182-01, 3-5-2002)