DCF 57.25(7)(b) (b) Rights of patients. A group home shall comply with the provisions of s. 51.61 (1) (g) and (h), Stats., for each resident who is prescribed psychotropic medication.

DCF 57.25(7)(c) (c) Non-emergency procedures. A group home serving a resident for whom psychotropic medication is newly prescribed shall ensure that all of the following requirements are met:

DCF 57.25(7)(c)1. 1. A medical evaluation of the resident is completed by a physician detailing the reason for the type of psychotropic medication prescribed. The evaluation or screening shall be documented in the resident’s record within the first 45 days after the resident has first received a psychotropic medication. Subsequent evaluations of the resident related to the administration of psychotropic medications shall be completed as recommended by the prescribing physician and the results documented in the resident’s record.

DCF 57.25(7)(c)2. 2. The resident, if 14 years of age or older, and a parent, or guardian of the resident, have signed written consent forms as required under s. DHS 94.03, unless psychotropic medications are administered per court order. If the medication is administered per court order, there shall be a copy of the order in the resident’s record.

DCF 57.25(7)(c)3. 3. All group home staff understand the potential benefits and side effects of the medication and have received information relating to contraindicated medications.

DCF 57.25(7)(d) (d) Emergency procedures. For emergency administration of a psychotropic medication to a resident, a group home shall do all of the following:

DCF 57.25(7)(d)1. 1. Have authorization from a physician.

DCF 57.25(7)(d)2. 2. Whenever feasible, obtain written informed consent from a parent, or guardian, and the resident, if the resident is 14 years old or older, before using the medication unless the medication is administered per court order

DCF 57.25(7)(d)3. 3. Comply with the group home’s emergency medical procedures.

DCF 57.25(7)(d)4. 4. If written informed consent of a parent or guardian of a the resident was not obtained before administration of the medication notify the parent or guardian by phone as soon as possible following emergency administration and document the dates, times, and persons notified in the resident’s treatment record.

DCF 57.25(7)(d)5. 5. Document the physician’s reasons for ordering emergency administration of psychotropic medication in the resident’s treatment record.

DCF 57.25(7)(e) (e) Revocation of consent or refusal to take.

DCF 57.25(7)(e)1. 1. A resident’s parent or guardian may revoke consent for non-emergency use of psychotropic medications at any time, as provided under s. DHS 94.03.

DCF 57.25(7)(e)2. 2. When a consent is revoked, the group home shall do all of the following:

DCF 57.25(7)(e)2.a. a. Administer the medication pursuant to a court order or as prescribed by a physician to avoid serious physical harm to the resident or others.

DCF 57.25(7)(e)2.b. b. Inform the prescribing physician and the placing person or agency of the consent revocation and document the revocation in the resident’s treatment record.

DCF 57.25(7)(e)3. 3. When a resident refuses to take a prescribed psychotropic medication, the group home shall do all of the following:

DCF 57.25(7)(e)3.a. a. Document the resident’s reasons for refusal in the resident’s treatment record.

DCF 57.25(7)(e)3.b. b. Notify the resident’s physician, the parent or guardian or legal custodian and the resident’s placing person or agency. Notification shall be immediate if the resident’s refusal threatens the resident’s well-being and safety.

DCF 57.25(7)(f) (f) Administration standards. In administering psychotropic medication, a group home shall comply with requirements for administration of prescription medication in this section and clinically acceptable standards for good medical practice. Conformance to guidelines of the department’s division of disability and elder services for use and monitoring of the effects of psychotropic medications satisfies the requirement for clinically acceptable standards and for good medical practice.

DCF 57.25 History History: CR 04-067: cr. Register September 2005 No. 597, eff. 1-1-06; corrections in (2) (a), (5), (7) (c) 2. made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.

DCF 57.26 DCF 57.26 Dental care. Within 30 days after admission to a group home, each resident over the age of 3 years old who is admitted to the group home for other than respite care shall receive a dental examination unless an examination has been performed within 6 months before the resident’s admission. Subsequent dental examinations shall occur at intervals not exceeding 6 months after the last examination or completion of treatment.

DCF 57.26 History History: CR 04-067: cr. Register September 2005 No. 597, eff. 1-1-06.

DCF 57.27 DCF 57.27 Behavior intervention.

DCF 57.27(1) (1) Prohibited measures. No licensee, staff member, or volunteer may do any of the following:

DCF 57.27(1)(a) (a) Hit, shake, pinch, push, twist or use any other means that the staff member or volunteer knows or should know may inflict mental or physical harm or actions that may be psychologically, emotionally or physically painful to a resident.

DCF 57.27(1)(b) (b) Verbally abuse a resident or use profanity, or any language that the staff member or volunteer knows or should know may ridicule a resident.

DCF 57.27(1)(c) (c) Lock a resident in a room or any other place.

DCF 57.27(1)(d) (d) Use any item to cover a resident’s head or face or wrap the resident’s body with sheets, blankets, or any other material.