<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.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0 { margin-top: 0; line-height: 12.0pt; 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; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000003 { 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="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:01"><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000000">44:75:08:01</span></a><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">.  Policies and procedures.</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> Each facility shall establish and </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">implement written policies</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> and procedures for medication control that include:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (1)  A requirement that each patient's prescribing physician, physician assistant, or nurse practitioner provide to the facility electronic or written signed orders for</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  A</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">ny medications taken by the patient;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  A</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">uthorization for medications kept on the </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">patient</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> or in the room of the patient; and</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (c)  R</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">elease of medications;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (2)  Provisions for proper storage of prescribed medications so that the medications are inaccessible to patients </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">and</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> visitors with requirements for:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  Separate storage of poisons, topical medications, and oral medications;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  Each patient'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="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (c)  A medication prescribed for one patient </span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">that is </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">not to be administered to any other patient;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (3)  Self-administration of medications to be accomplished with the supervision of a licensed nurse to include:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  A description of the responsibilities of the patient, the patient's family members, and the facility </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">personnel</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">; and</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  The provision of written educational material explaining to the patient and the patient's family the patient's rights and responsibilities associated with self-administration; and</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    (4)  The proper disposition of </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">medications due to:</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (a)  Patient</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> discharge or death of the patient</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">;</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (b)  Outdated medication;</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> or</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">        (c)  T</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">he prescription </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">being discontinued by the physician, physician assistant, or nurse practitioner</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">The facility shall also establish</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> written policies and procedures </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">for</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> 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="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">For the purpose of subdivision (3), the phrase, self-administration of medications, means the removal of the correct dosage from the pharmaceutical container and self-injecting, self-ingesting, or self-applying the medication with no assistance or with assistance from qualified personnel of the facility for the correct dosage or frequency</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">Source:</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> 42 SDR 51, effective October 13, 2015</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">; 50 SDR 62, effective November 27, 2023</span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">General Authority:</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000003">34-12-13</span></a><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">(9).</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">    </span><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000001">Law Implemented:</span><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0-000003">34-12-13</span></a><span class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaC0">.</span></p><p dir="ltr" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852ccaP0"><span xml:space="preserve" class="sb0e7a3ee-b9e9-4def-8c9f-b58600852cca000002"> </span></p></div></body></html>