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(e) Discontinued prescription medications shall be returned to the individual’s family or residential program for proper disposal. (a) The original container for prescription medications shall be labeled with a pharmaceutical label that includes the individual’s name, the name of the medication, the date the prescription was issued, the prescribed dose and the name of the prescribing physician. The provisions of this § 2380.114 adopted January 15, 1993, effective January 16, 1993, 23 Pa. (d) Prescription and nonprescription medications shall be stored under proper conditions of sanitation, temperature, moisture and light. (c) Medications administration training of staff persons shall be conducted by an instructor who has completed and passed the Medications Administration Course for trainers and is certified by the Department to train staff persons.

(5) At least one complete meal shall be provided if the individual is at the facility for 4 or more hours. (c) The physical examination shall include: (1) A general physical examination. The provisions of this § 2380.111 adopted January 15, 1993, effective January 16, 1993, 23 Pa. The provisions of this § 2380.112 adopted January 15, 1993, effective January 16, 1993, 23 Pa. (b) The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or certified physician’s assistant. The provisions of this § 2380.124 adopted January 15, 1993, effective January 16, 1993, 23 Pa. Code Chapter 18, Subchapter C (relating to certified registered nurse practitioners) and Chapter 21, Subchapter C (relating to certified registered nurse practitioners). If an individual has a suspected adverse reaction to a medication, the facility shall notify the prescribing physician and the family or residential program immediately. The provisions of this § 2380.126 adopted January 15, 1993, effective January 16, 1993, 23 Pa. Code Chapter 18, Subchapter C (relating to certified registered nurse practitioners) and Chapter 21, Subchapter C (relating to certified registered nurse practitioners). (a) Prescription medications and injections of a substance not self-administered by individuals shall be administered by one of the following: (1) A licensed physician, licensed dentist, certified physician’s assistant, registered nurse or licensed practical nurse. (c) A list of prescription medications, the prescribed dosage, special instructions and the name of the prescribing physician shall be kept for each individual who self-administers medication. The medication log must identify the prescribing certified registered nurse practitioner (CRNP) when a medication was prescribed by a CRNP as authorized under 49 Pa. Notification of an adverse reaction to a medication may be made to the prescribing certified registered nurse practitioner (CRNP) when the medication was prescribed by a CRNP as authorized under 49 Pa.

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(c) The physician’s written instructions and precautions shall be followed. The facility shall have a written emergency medical plan listing the following: (1) The hospital or source of health care that will be used in an emergency. (c) Prescription medications stored in a refrigerator shall be kept in a separate locked container.