<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.s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0 { 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.s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s45b6e544-cfcc-4cc4-ba48-bac93fe50d12000003 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0-000004 { margin-top: 0; line-height: 115.0%; margin-bottom: 10pt; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } </style></head><body><div><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:08:08"><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000">67</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000">:</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000">61</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000">:</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000">08</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000">:</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000000">08</span></a><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000001">.  Administration of medications and </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000001">controlled </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000001">drugs.</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> All medications and</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> controlled </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">drugs </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">must</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> be administered </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">in a non-prohibited manner as set forth in</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-28"><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000002">36-9-28</span></a><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">. Each agen</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">c</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">y shall</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">establish written policies concerning the administration of all medications</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">,</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> including</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">Schedule II, III, and IV drugs</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">,</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> and shall ensure that Schedule II, III, and IV drugs are</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">administered only in accordance with those policies and only when authorized by a</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">licensed physician.</span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12000003"> </span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">    Only </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">a registered nurse</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">, </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">a licensed practical nurse</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">, or </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">an unlicensed assistive personnel</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> who </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">is</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> trained and qualified</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">,</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> in accordance with</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">chapter </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04"><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000002">20:48:04</span></a><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">,</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> may administer medications. </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">Any person</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> administering the</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">medication shall record the name of the medication, the strength and quantity</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">administered, and the time of administration in the client's case </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">file</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">, and </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">shall</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> sign the</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">case record. </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">A</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> person may </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">not </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">administer medication that ha</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">s</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> been prepared for</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">administration by another person.</span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12000003"> </span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">    The agency shall maintain a procedure for the immediate reporting of drug</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">reactions and medication errors to the physician responsible for the client</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">.</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">The </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">procedure must comply with the confidentiality of records requirements</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">, as set forth in</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> 42 U.S.C. §</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">290 dd-2</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">,</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">in effect on March 27, 2020</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">, and 42 C.F.R. Part 2</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">, in effect on January 18, 2017</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">. The </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">person</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> responsible for a</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> medication error shall complete and</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">sign an entry in the client's case record and complete and sign an incident report form.</span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12000003"> </span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">    </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000001">Source:</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">43</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> SDR </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">80</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">, effective </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">.</span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">    </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000001">General Authority:</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> SDCL </span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">1-26-53, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000002">34-20A-27</span></a><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">.</span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">    </span><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000001">Law Implemented:</span><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0-000002">34-20A-27</span></a><span class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12C0">.</span></p><p dir="ltr" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12P0-000004"><span xml:space="preserve" class="s45b6e544-cfcc-4cc4-ba48-bac93fe50d12000003"> </span></p></div></body></html>