PDFWAC 388-107-0400
Use of as needed psychopharmacologic medications.
If the physician has ordered an as-needed psychopharmacologic medication for a resident, the facility must ensure that:
(1) The order details the circumstances under which the medication may be used and the medication is given only as specifically ordered;
(2) The resident's person-centered service plan includes behavioral intervention strategies and modifications of the environment and staff behavior to address the symptoms for which the medication is prescribed;
(3) There is documentation in the resident record about the specific symptom or behavior that caused the need for the medication and the results of its use;
(4) There is documentation in the resident record that the resident, guardian or legal representative, if any, was informed of the need for the medication;
(5) The resident, guardian, or legal representative has given informed consent for the medication; and