LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 352.10 Medication Administration
 
  PROCEDURES
  1. Prior to each medication administration, Authorized Personnel shall check to ensure that there is an active medication order in IBHIS.
     
  2. Prior to each medication administration, Authorized Personnel shall check:
    1. Expiration date
    2. Integrity of medication
       
  3. Prior to each medication administration, Authorized Personnel shall check the "seven rights" listed below:
    1. Right client
      1. Authorized Personnel shall ask client to state or provide at least two (2) unique identifiers. Unique identifiers can be any combination of the following:
        1. Last Name, First Name
        2. Date of Birth (DOB)
        3. IBHIS number
        4. Last 4 digits of Social Security Number (SSN)
        5. Address
        6. Phone number
    2. Right medication
    3. Right formulation
    4. Right dose
    5. Right route
    6. Right date and time
    7. Right reason
       
  4. For each medication administered at the clinic, the following data shall be recorded.
    1. Date and Time
    2. Client Name
    3. IBHIS #
    4. Date of Birth
    5. Medication Name
    6. Medication Strength
    7. Dose Administered
    8. Route
    9. Administration Site (if applicable)
    10. Lot Number 
    11. Initials of Staff Administering Medication
  5. Authorized Personnel shall review the medication administration record for accuracy on a daily basis and resolve any discrepancies immediately.
    1. Discrepancies that cannot be resolved shall be reported via the Safety Intelligence Event Reporting tool.