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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
(6) Antipsychotic medications are administered in a manner consistent with RCW 70.97.040 and 70.97.050.
[Statutory Authority: RCW 70.97.230 and HCBS Final Rule 42 C.F.R. WSR 16-14-078, § 388-107-0400, filed 7/1/16, effective 8/1/16. Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0400, filed 9/12/14, effective 10/13/14.]
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