Regulation .14 Medications.
Regulation .14 Medications.LinkCopy Citation
A.
An operator shall ensure that:
(1)
Except for medication covered by standing orders as described in §I of this regulation, before administration of a medication, written authorization is provided on a Medication Administration Authorization Form meeting the requirements of §F of this regulation;
(2)
Except for a primitive camp as defined in COMAR 10.16.06.02, emergency medication, or while a medication is being administered, medication is kept in a locked storage compartment;
(3)
A prescription medication is kept in the original container bearing a pharmacy label that includes the:
(a)
Prescription number;
(b)
Date filled;
(c)
Authorized prescriber’s name;
(d)
Patient’s name;
(e)
Name of the medication;
(f)
Dose of the medication;
(g)
Route of administration for the medication;
(h)
Time or frequency of administration for the medication; and
(i)
Expiration date;
(4)
A nonprescription medication is kept in the original container that includes the directions for use;
(5)
Medication is given to the camper from the original container;
(6)
The directions provided in the prescriptive order for the medication found on the Medication Administration Authorization Form or the standing order is followed;
(7)
The staff member or designated volunteer administering the medication or supervising a camper who is self-administering medication knows the side effects and toxic effects of the medication;
(8)
Medication is kept in a secure manner;
(9)
Emergency medications are handled according to §D of this regulation;
(10)
Medication is stored according to the manufacturer’s directions;
(11)
A staff member or designated volunteer documents medication administration on a Medication Administration Form meeting the requirements of §G of this regulation;
(12)
A staff member or designated volunteer documents the final disposition of the medication on a Medication Final Disposition Form meeting the requirements of §H of this regulation;
(13)
Except as allowed in §A(14) of this regulation, within 2 weeks after the end of the camping session or when the medication is discontinued, medication is:
(a)
Returned to:
(i)
The parent;
(ii)
The guardian; or
(iii)
An individual designated by the parent or guardian who has authorization to pick-up the camper and the medication; or
(b)
Destroyed; and
(14)
If authorized by the parent or guardian, a camper may take their medication with them at the end of the camping session.
B.
Staff Administration — Routine Medication. Except as allowed in §E of this regulation, an operator shall ensure that a routine medication, other than insulin, is administered by:
(1)
A licensed or certified professional:
(a)
Who is authorized to practice in Maryland; and
(b)
Whose scope of practice includes medication administration; or
(2)
An adult staff member or a volunteer who:
(a)
Is designated by the operator; and
(b)
On an annual basis successfully completes a training course approved annually by the Department.
C.
Staff Administration — Insulin. Except as allowed in §E of this regulation, an operator shall ensure that insulin is administered by a licensed or certified professional:
(1)
Who is authorized to practice in Maryland; and
(2)
Whose scope of practice includes medication administration.
D.
Staff Administration — Emergency Medication.
(1)
Except as allowed in Regulation .15 of this chapter, an operator shall ensure that:
(a)
Emergency medication is:
(i)
Carried by the camper needing the medication if authorized according to §E(2) of this regulation;
(ii)
Carried by an adult staff member or volunteer directly supervising the camper; or
(iii)
Stored at a designated easily accessible location; and
(b)
Emergency medication is administered by:
(i)
The camper so long as the camper is capable and authorized to self-administer according to §E of this regulation;
(ii)
An adult staff member or volunteer meeting the requirements of §B of this regulation; or
(iii)
An adult staff member or volunteer trained by a health supervisor.
(2)
An operator may allow a camper to self-carry an emergency medication if both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-carry the emergency medication.
E.
Self-Administration. An operator may allow a camper to self-administer medication, including insulin, if:
(1)
Both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-administer the medication;
(2)
The health supervisor has designated an adult staff member or volunteer to supervise the camper while the camper is self-administering medication; and
(3)
The designated adult staff member or volunteer supervises the camper while the camper is self-administering medication.
F.
Medication Administration Authorization Form. A Medication Administration Authorization Form shall include:
(1)
The written prescriptive order for the medication that includes:
(a)
The child’s name;
(b)
The child’s date of birth;
(c)
The condition for which the medication is being administered;
(d)
Whether or not the medication is an emergency medication;
(e)
The name of the medication;
(f)
The dose of the medication;
(g)
The route of administration for the medication;
(h)
The time or frequency of administration for the medication;
(i)
If PRN, the frequency and for what symptoms the medication should be administered;
(j)
The known side effects of the medication specific to the camper;
(k)
The date medication administration shall begin;
(l)
The date medication administration shall end, not to exceed 1 year from the beginning date;
(m)
The authorized prescriber’s name;
(n)
The authorized prescriber’s title;
(o)
The authorized prescriber’s telephone number;
(p)
The authorized prescriber’s fax number;
(q)
The authorized prescriber’s address;
(r)
The authorized prescriber’s signature; and
(s)
The date the form is signed by the authorized prescriber;
(2)
The following statement: “I request the authorized youth camp operator, staff member or volunteer to administer the medication or to supervise the camper in self-administration as prescribed by the above authorized prescriber. I certify that I have legal authority to consent to medical treatment for the child named above, including the administration of medication at the facility. I understand that at the end of the authorized period an authorized individual must pick up the medication; otherwise, it will be discarded. I authorize camp personnel and the authorized prescriber indicated on this form to communicate in compliance with HIPAA”;
(3)
The parent’s or guardian’s signature;
(4)
The date the parent or guardian signed the form;
(5)
The parent’s or guardian’s primary phone number;
(6)
The parent’s or guardian’s alternative phone number;
(7)
If a camp allows a camper to self-administer medication, authorization to self-administer medication that includes:
(a)
The following statement: “I authorize self-administration of the above listed medication for the child named above under the supervision of the youth camp operator, a designated staff member or volunteer”;
(b)
The signature of the authorized prescriber and the date the form is signed under the statement in §F(7)(a) of this regulation; and
(c)
The signature of the parent or guardian and the date the form is signed under the statement in §F(7)(a) of this regulation; and
(8)
If a camp allows a camper to self-carry emergency medication, authorization to self-carry emergency medication that includes whether the:
(a)
Authorized prescriber gives permission for the child to self-carry emergency medication; and
(b)
Parent or guardian gives permission for the child to self-carry emergency medication.
G.
Medication Administration Form. A Medication Administration Form shall include the:
(1)
Child’s name;
(2)
Child’s date of birth;
(3)
Name of the medication;
(4)
Dose of the medication;
(5)
Route of administration for the medication;
(6)
Time or frequency of administration for the medication;
(7)
Amount of medication administered;
(8)
Date and time of administration; and
(9)
Name of the individual who:
(a)
Administered the medication to the child; or
(b)
Supervised self-administration if the child self-administered the medication.
H.
Medication Final Disposition Form. A Medication Final Disposition Form shall include:
(1)
The child’s name;
(2)
The child’s date of birth;
(3)
The name of the medication;
(4)
The final disposition of the medication;
(5)
Documentation that the medication is returned to the parent or guardian, or authorized individual, including the:
(a)
Name of the individual to whom the medication was returned; and
(b)
Signature of the staff member or volunteer who returned the medication; and
(6)
A section for documenting that the medication was destroyed that includes the:
(a)
Signature of the individual responsible for destroying the medication;
(b)
Signature of the individual witnessing the destruction of the medication; and
(c)
Dates each individual signed the form.
I.
Standing Orders. When standing orders from a licensed or certified professional authorized to prescribe medication are used in place of the Medication Administration Authorization Form required in §A(1) of this regulation, an operator shall ensure that:
(1)
Written permission is obtained from the child’s parent or guardian to administer the medication; and
(2)
The medication is administered by a staff member or volunteer who meets the requirements in §B of this regulation.
J.
Medications at Primitive Camps. Except for emergency medication that the camper is authorized to self-carry according to §E(2) of this regulation, in a primitive camp as defined in COMAR 10.16.06.02, medication is kept inaccessible to the camper.
K.
Staff Member or Volunteer Medication.
(1)
An operator shall:
(a)
Provide a means to secure medication for a staff member or volunteer when a medication is brought to camp; and
(b)
Ensure that all staff member or volunteer medications are maintained in a secure manner at all times.
(2)
Except when a staff member or volunteer is self-administering a medication, an operator shall:
(a)
Ensure that a staff member or volunteer:
(i)
Provides written authorization on a Medication Administration Authorization Form meeting the requirements of §F of this regulation for each medication brought to camp; and
(ii)
Who is an adult, signs the Medication Administration Authorization Form in lieu of a parent or guardian; and
(b)
For a staff member or volunteer taking medication, have on file for each medication:
(i)
A Medication Administration Authorization Form;
(ii)
A Medication Administration Form; and
(iii)
A Medication Final Disposition Form.
L.
Form Retention. An operator shall retain for 3 years and make available to the Department the completed:
(1)
Medication Administration Authorization Form;
(2)
Medication Administration Form;
(3)
Medication Final Disposition Form; and
(4)
Record of successful training for each staff member or volunteer who is trained to administer medication under §B(2) of this regulation.