<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:08:01.01"><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000000">44:73:08:01.01</span></a><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">.  Policies and procedures.</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> Each facility shall establish and </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">implement the following policies</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> and procedures for medication control</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (1)  A requirement that each resident's prescribing physician, physician assistant, or nurse practitioner provide to the facility electronic or written signed orders for</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  A</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">ny medications taken by the resident;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  A</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">uthorization for medications kept on the </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">resident</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> or in the room of the resident; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (c)  R</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">elease of medications;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (2)  Provisions for proper storage of prescribed medications so that the medications are inaccessible to residents </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">and</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> visitors with requirements for:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  Separate storage of poisons, topical medications, and oral medications;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  Each resident's medication to be stored in the container in which it was originally received and not transferred to another container; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (c)  A medication prescribed for one resident </span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">that is </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">not to be administered to any other resident;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (3)  </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">The s</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">elf-administration of medications </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">must</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> be accomplished with the supervision of a designated employee of the facility</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">. The requirement must contain:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  A description of the responsibility of the resident, the resident's family members and the facility </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">personnel</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  The provision of written educational material explaining to the resident and the resident's family the resident's rights and responsibilities associated with self-administration; and</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    (4)  </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">Provision for</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> proper disposition of medic</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">ations due to:</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (a)  Resident</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> discharge or death</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">;</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (b)  O</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">utdated</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> medication;</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> or</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">        (c)  T</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">he prescription is </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">being discontinued by the physician, physician assistant, or nurse practitioner</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">The facility shall establish</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> written policies and procedures </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">for</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> the manner of issuance, proper storage, control, accountability, and administration of medications or drugs in accordance with pharmaceutical and nursing practices as well as professional standards.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    The facility and </span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">the facility's </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">pharmacist shall establish a system of records of receipt and disposition for all controlled drugs in sufficient detail to enable an accurate reconciliation. The facility and pharmacist shall ensure the drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled. The facility and pharmacist shall have policies and procedure</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">s</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> for the periodic reconciliation of all controlled substances. The policies and procedure</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">s</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">must</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> minimize the time between the actual loss or diversion and the time of detection and follow-up to determine the extent of the loss.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    If a loss or diversion of controlled substances is identified, the facility and pharmacist shall evaluate the residents potentially affected</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">,</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> consistent with </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">the resident's</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> comprehensive assessment and plan of care. If </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">policies and procedures</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> have not been effective in preventing the loss or diversion of controlled substances, the facility and pharmacist </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">must</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> review and revise related controls and procedures as necessary.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">Source:</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> SL 1975, ch 16, § 1; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 22 SDR 70, effective November 19, 1995; 24 SDR 90, effective January 4, 1998; 28 SDR 83, effective December 16, 2001; 29 SDR 81, effective December 11, 2002; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:08:02"><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003">44:04:08:02</span></a><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">, 42 SDR 51, effective October 13, 2015</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">; 51 SDR 53, effective November 11, 2024</span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">General Authority:</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003">34-12-13</span></a><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">    </span><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000001">Law Implemented:</span><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0-000003">34-12-13</span></a><span class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dC0">.</span></p><p dir="ltr" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1dP0"><span xml:space="preserve" class="s32d99d9b-7ad9-4d16-a712-500979ed8f1d000002"> </span></p></div></body></html>