Medication setup — administration and storage of medications

1. An adult day services program may provide for medication setup if requested by a participant or the participant’s legal representative. If medication setup is provided following such request, the program shall be responsible for the specific task requested and the participant shall retain responsibility for those tasks not requested to be provided. 2. If medications are administered or stored by an adult day services program, or if the adult day services program provides for medication setup, all of the following shall apply: a. If administration of medications is delegated to the program by the participant or the participant’s legal representative, the medications shall be administered by a registered nurse, licensed practical nurse, advanced registered nurse practitioner licensed in Iowa, or by the individual to whom such licensed individuals may properly delegate administration of medications. b. Medications, other than those self-administered by the participant or provided through medication setup, shall be stored in locked storage that is not accessible to persons other than employees responsible for administration or storage of medications. c. Medications shall be labeled and maintained in compliance with label instructions and state and federal law. d. A person, other than a person authorized to prescribe prescription drugs under state and federal law, shall not alter the prescription of a participant. e. Medications shall be stored in their originally received containers. f. If medication setup is provided by the program at the request of the participant or the participant’s legal representative, or if medication administration is delegated to the program by the participant or the participant’s legal representative, appropriate staff of the program may transfer the medications in the participant’s presence from the original prescription container to medication dispensing containers, reminder containers, or medication cups. g. Program assistance with medication administration as specified in the contractual agreement shall not require the program to provide assistance with the storage of medications.