6. The supervisory registered nurse is responsible for ongoing monitoring of all people who administer medications to insure safe medication administration practices - documentation of this monitoring is required. (DC Board of Nursing Delegation) Source: DC Code 21-1201-12061 and the DC Municipal S Regulations for Trained Medication Employees (TMEs). Psychotropic Medications Standard 18 Documentation: The psychotropic Psychotropic Psychotropic medications when used should strive to find a drug review form Medications: minimal effective dose, and be part of an overall treatment will be used to All psychotropic strategy that includes psychosocial treatment interventions. document the medications are These interventions include the identification and interdisciplinary administered in a management of stressors, changes needed in the review of manner to ensure that environment, teaching people and caregivers and other prescriptions for people benefit from treatment approaches such as cognitive-behavioral therapy. psychotropic their use and that their medications. rights, health, and DDS has adopted the following standards: well-being are The critical incident A licensed, board-certified psychiatrist must make all protected. All people report will be decisions: a) if a person should undergo a formal will have appropriate completed when assessment for a mental disorder; b) if the person is medications are access to information administered on a likely to benefit from taking a psychotropic and treatment with one-time basis to medication; and c) the prescription, administration, psychoactive address a psychiatric monitoring, and oversight of such medications. medications, and shall health problem. have reasonable Psychotropic medication shall only be prescribed to protection from serious side effects or people with intellectual and developmental disabilities that have a formal psychiatric assessment and a the inappropriate use of these medications. diagnosed mental disorder. Documentation from the provider will be required acknowledging the psychiatric assessment recommendations for Applies to: psychotropic medication use for the person. The plan All DDS employees, must be incorporated into the ISP, and a behavioral providers/vendors, community support plan will be in place prior to the prescription of the medication(s). representatives, government entities and individuals who The concept of effective needs “minimal dose” (MED) provide support or to be reflected in medication orders. This term refers services to people to use of the lowest dose of medication that produces receiving services and the desired effect. supports from DDA. Prescribing practitioners shall assess people for
6. The supervisory registered nurse is responsible for ongoing monitoring of all people who administer medications to insure safe medication administration practices - documentation of this monitoring is required. (DC Board of Nursing Delegation) Source: DC Code 21-1201-12061 and the DC Municipal Regulations for Trained Medication Employees (TMEs). S Standard 18 Psychotropic Medications: All psychotropic medications are administered in a manner to ensure that people benefit from their use and that their rights, health, and well-being are protected. All people will have appropriate access to information and treatment with psychoactive medications, and shall have reasonable protection from serious side effects or the inappropriate use of these medications. Applies to: All DDS employees, providers/vendors, community representatives, government entities and individuals who provide support or services to people receiving services and supports from DDA. Psychotropic Medications Psychotropic medications when used should strive to find a minimal effective dose, and be part of an overall treatment strategy that includes psychosocial treatment interventions. These interventions include the identification and management of stressors, changes needed in the environment, teaching people and caregivers and other treatment approaches such as cognitive-behavioral therapy. DDS has adopted the following standards: A licensed, board-certified psychiatrist must make all decisions: a) if a person should undergo a formal assessment for a mental disorder; b) if the person is likely to benefit from taking a psychotropic medication; and c) the prescription, administration, monitoring, and oversight of such medications. Psychotropic medication shall only be prescribed to people with intellectual and developmental disabilities that have a formal psychiatric assessment and a diagnosed mental disorder. Documentation from the provider will be required acknowledging the psychiatric assessment recommendations for psychotropic medication use for the person. The plan must be incorporated into the ISP, and a behavioral support plan will be in place prior to the prescription of the medication(s). The concept of “minimal effective dose” (MED) needs to be reflected in medication orders. This term refers to use of the lowest dose of medication that produces the desired effect. Prescribing practitioners shall assess people for Documentation: The psychotropic drug review form will be used to document the interdisciplinary review of prescriptions for psychotropic medications. The critical incident report will be completed when medications are administered on a one-time basis to address a psychiatric health problem.
HW%20Standards.docx