| To establish uniform policy and procedures in the Los Angeles County Department of Mental Health (DMH) for medication administration in a clinical setting.
Contractors shall develop internal policy and procedures that are in compliance with State and Federal laws, consistent with their organizational practices, and meet the requirements set forth in this policy.
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| II. DEFINITION
Authorized Personnel: Psychiatrist, PA, NP, RN, LVN, psychiatric technician, pharmacist.
III. POLICY
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| Procurement of medications from any other supplier without approval from the DMH Chief of Pharmacy is prohibited.
Medications shall be administered only under the direct supervision of the psychiatrist, nurse practitioner, nurse, or psychiatric technician. Only under special circumstances, as determined by the DMH Chief of Pharmacy, shall pharmacists administer medications to clients.
The client, family, or responsible party shall be informed of the intended benefit and potential clinically significant side effects. Staff administering medication shall remain with the client and report observations to the ordering prescriber or Supervising Psychiatrist on duty.
An expired medication order shall be renewed prior to medication administration.
To prevent unintended disruption of treatment, an expired medication consent shall not prevent the client from receiving medication under an active medication order.
Upon discovery of medication errors or near-miss events, DMH staff shall act in accordance with DMH Reporting Clinical Events Involving Clients Policy 303.05.
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