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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.

(d) Immunizations, vision and hearing screening and tuberculin skin testing may be completed, signed and dated by a registered nurse or a licensed practical nurse instead of a licensed physician, certified nurse practitioner or certified physician’s assistant. If an individual refuses a routine medical examination, the refusal shall be documented in the individual’s record. (a) A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff persons, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. (7) An assessment of the individual’s health maintenance needs, medication regimen and the need for blood work at recommended intervals. (11) Special instructions for an individual’s diet. (3) A student nurse of an approved nursing program functioning under the direct supervision of a member of the nursing school faculty who is present in the facility. The provisions of this § 2380.125 adopted January 15, 1993, effective January 16, 1993, 23 Pa. The provisions of this § 2380.126a adopted March 26, 2010, effective March 27, 2010, 40 Pa. (2) A graduate of an approved nursing program functioning under the direct supervision of a professional nurse who is present in the facility. (b) The information specified in subsection (a) shall be logged immediately after each individual’s dose of medication.

The provisions of this § 2380.123 adopted January 15, 1993, effective January 16, 1993, 23 Pa. 343; amended August 27, 2010, effective August 28, 2010, 40 Pa. (a) A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered, and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication.

The provisions of this § 2380.113 adopted January 15, 1993, effective January 16, 1993, 23 Pa. Code § 27.2 (relating to specific identified reportable diseases, infections and conditions) to the extent that confidentiality laws permit reporting, or a medical problem which might interfere with the health, safety or well-being of the individuals, written authorization from a licensed physician is required for the person to be present at the facility. (a) Prescription and nonprescription medications shall be kept in their original containers, except for medications of individuals who self-administer medications and keep their medications in personal daily or weekly dispensing containers.

(4) Information of medical problems which might interfere with the safety or health of the individuals. (a) If a staff person or volunteer has a serious communicable disease as defined in 28 Pa.

Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, certified nurse practitioner or certified physician’s assistant.

(2) Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positive, an initial chest X-ray with results noted.

(b) Prescription medications and injections shall be administered according to the directions specified on the prescription. (a) A staff person who has completed and passed the Department’s Medications Administration Course is permitted to administer oral, topical and eye and ear drop prescription medications.