<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.sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0 { 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.sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc3eebfcc-e9e7-4f8d-950f-04fae25f189a000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0-000004 { 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="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:08:10"><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000">67</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000">:</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000">61</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000">:</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000">08</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000">:</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000000">10</span></a><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000001">.  Self-administration of medication</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000001"> or controlled drugs</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000001">.</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> A residential treatment</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">program not employing a </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">registered nurse</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">, a </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">licensed practical nurse</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">, or </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">unlicensed assistive personnel must</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> make the </span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">controlled </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">drug or medication</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">available to a client for self-administration in accordance with the instructions of a</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">licensed physician. The client shall self-administer the drug or medication</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> under the</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">supervision of a designated employee who enters the name, strength, and quantity of the</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">medication</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> and the time of self-administration</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> in the client's case record.</span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189a000002"> </span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">    Clinically-managed</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> low-intensity residential treatment programs are exempt from</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">the requirement of supervising the self-administration of over-the-counter </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">drugs or medications</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">. If</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">the reasonable safety of all program clients is ensured, residential programs may allow</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">clients to possess and self-administer</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> without supervision</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> those prescription medications</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">that have been identified as allowable medications on a list developed specifically for the</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">individual</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> in consultation with a licensed physician. The list of allowable medications</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> must</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> be reviewed at least annually</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">,</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> by a licensed physician. Any medication not identified</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">on the list </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">must</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> be administered under supervision.</span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189a000002"> </span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">    Each residential treatment program utilizing self-administration processes </span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">must </span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">establish </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">a policy</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> and procedures that outline these processes.</span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189a000002"> </span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">    </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000001">Source:</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">43</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> SDR </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">80</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">, effective </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">.</span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">    </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000001">General Authority:</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000003">1-36-25</span></a><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000003">34-20A-27</span></a><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">.</span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">    </span><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000001">Law Implemented:</span><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0-000003">34-20A-27</span></a><span class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aC0">.</span></p><p dir="ltr" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189aP0-000004"><span xml:space="preserve" class="sc3eebfcc-e9e7-4f8d-950f-04fae25f189a000002"> </span></p></div></body></html>