SECTION 749.1541. What records must caregivers maintain for each child receiving medication?

(a) Caregivers must maintain a cumulative medication record of all:

(1) Prescription medication dispensed to each child; and

(2) Nonprescription medications and supplements that are dispensed to a child under five years old.

(b) The cumulative medication record must be updated within 24 hours of administering medication.

(c) Caregivers must maintain the medication record, which must include:

(1) Child's full name;

(2) Prescribing health-care professional's name, if applicable;

(3) Reason medication was prescribed, for prescription medication;

(4) Medication name, strength, and dosage;

(5) Date (day, month, and year) and the time the medication was administered;

(6) Name and signature of the person who administered the medication;

(7) Child's refusal to accept medication, if applicable; and

(8) Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that the caregiver is treating, only for:

(A) PRN psychotropic medication; and

(B) Nonprescription medications and supplements for children under five years old.

(d) You must document in the medication record any non-prescription medication or supplement that is given to the child and how often the child receives the medication or supplement.

(e) Caregivers must document any prohibited prescription medications (for example, medication allergies or contraindications) or prohibited nonprescription medications and supplements in the medication record.

(f) You must incorporate the medication record into the child's record.

Source Note: The provisions of this §749.1541 adopted to be effective January 1, 2007, 31 TexReg 7469; amended to be effective September 1, 2010, 35 TexReg 7522; amended to be effective January 1, 2017, 41 TexReg 9944; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909