HB 181

1	A bill to be entitled
2	An act relating to the administration of medication;
3	amending s. 393.506, F.S.; authorizing certain staff
4	members to administer prescription medications under the
5	supervision of a registered nurse to persons with
6	developmental disabilities at a comprehensive transitional
7	education program; directing the Agency for Persons with
8	Disabilities to adopt rules to implement s. 393.506, F.S.;
9	providing an effective date.
10
11	Be It Enacted by the Legislature of the State of Florida:
12
13	Section 1.  Section 393.506, Florida Statutes, is amended
14	to read:
15	393.506  Administration of medication.--
16	(1)  Notwithstanding the provisions of part I of chapter
17	464, the Nurse Practice Act, unlicensed direct care services
18	staff providing services to persons with developmental
19	disabilities may administer oral, transdermal, inhaled, or
20	topical prescription medications as provided in this section.
21	(a)  For day habitation services programs, as defined in s.
22	393.063, the director of the facility or program shall designate
23	in writing unlicensed direct care services staff who are
24	eligible to be trained to assist in the administration of or to
25	administer medication.
26	(b)  For intermediate care facilities for the
27	developmentally disabled licensed pursuant to part XI of chapter
28	400, unlicensed staff designated by the director may provide
29	medication assistance under the general supervision of a
30	registered nurse licensed pursuant to chapter 464.
31	(2)  Notwithstanding part I of chapter 464, the Nurse
32	Practice Act, unlicensed direct care staff who provide services
33	to persons with developmental disabilities in a comprehensive
34	transitional education program licensed pursuant to s. 393.067
35	and who are designated by the director of such program may
36	administer, or assist in the administration of, oral, otic,
37	transdermal, ophthalmic, inhaled, rectal, or topical
38	prescription medications under the general supervision of a
39	registered nurse licensed pursuant to chapter 464 as provided in
40	this section.
41	(3)(2)  Each facility, institution, or program must include
42	in its policies and procedures a plan for training designated
43	staff to ensure the safe handling, storage, and administration
44	of prescription medication. These policies and procedures must
45	be approved by the agency before unlicensed direct care services
46	staff assist with medication.
47	(4)(3)  The policies and procedures must include, at a
48	minimum, the following provisions:
49	(a)  An expressed and informed consent for each client.
50	(b)  The director of the facility, program, or provider
51	must maintain a copy of the written prescription, and that
52	prescription must include the name of the medication, the dosage
53	and administration schedule, the reason for the prescription,
54	and the termination date.
55	(c)  Each prescribed medication shall be kept in its
56	original container and in a secure location.
57	(5)(4)  The training required in this section shall be
58	conducted by a registered nurse or a physician licensed pursuant
59	to chapter 458 or chapter 459.
60	(6)  The Agency for Persons with Disabilities shall adopt
61	rules to implement this section.
62	Section 2.  This act shall take effect upon becoming a law.

CODING: Words stricken are deletions; words underlined are additions.