Barb Ostrander, Medical Rehabilitation Services Division
Taking medications as prescribed is required for WWRC admissions and is critical to the success of clients attending WWRC as well as to the safety of the WWRC campus environment. Non-compliance is a violation of WWRC's Student Code of Conduct and will be addressed in accordance with the Center's protocol on management of student behaviors. Medication non-compliance, as described in this governance protocol, may qualify as a 'clear and present danger' to self or others under the Center's protocol on management of student behaviors and will result in program interruption until compliance is met.
Medication Management: General Expectations and Requirements
It is the client's responsibility to have an adequate supply of all prescribed medications on the day of admission and to take medications as prescribed by their physician throughout their program. When a client has an inadequate supply of medication, nursing will determine if the medication is critical and if there is a need to be discharged or put on leave based on review of available information, in consultation with the WWRC medical practitioner and/or with WWRC Behavioral Health staff when the inadequate supply is for treatment of a mental health condition.
The following expectations apply:
Clients who were not admitted or who were placed on leave due to inadequate medication supply must be cleared by medical or Behavioral Health staff prior to campus return. There must be a documented plan to ensure an adequate supply of medications at all times upon return.
Note: At any time from admissions through program completion, if the client states that a medication has been discontinued by a community physician without a corresponding replacement, the client may be asked to produce a written statement from his/her physician. The note must be received within 72 hours of the request for the client to remain on campus.
Upon admission, if a prescribed medication is considered critical and there is no opportunity for the client to obtain an adequate supply before close of the business day, the admitting nurse will inform the client that s/he cannot be admitted at that time. WWRC nursing staff will notify Admissions if not admitted as scheduled due to an inadequate medication supply. Admissions will re-schedule the client for services when an adequate medication supply is available.
When a currently enrolled WWRC client has an inadequate supply of critical medications, the medication nurse, or representative, will speak with the client/family to determine a plan to obtain medication(s) and will inform the client/family that if medication is not received at least 24 hours prior to the last dose of medication, the client will be asked to leave for their own safety and the safety of the campus environment until an adequate supply is available.
If upon admission or during the WWRC program there is an inadequate supply of medications not ordinarily considered critical, the WWRC nurse or representative may consult with the WWRC Nursing Supervisor, WWRC medical practitioner, or Behavioral Health staff, to determine how long the client may remain on campus without the medication.
The nurse will speak with the client/family to determine a plan to obtain medication(s) and will inform the client/family that if medication is not received within the allotted time, the client will be asked to leave campus for their own safety and the safety of the campus environment until an adequate supply is received.
When WWRC medical personnel determine that a program interruption is necessary due to medication non-compliance, the client is expected to leave campus within 24 hours of the decision. The WWRC Residential Services Director and the Counselor Manager are accountable to co-facilitate and oversee all discharge transitions to appropriate services, including transportation coordination. If unique extenuating circumstances exist, the assigned WWRC Rehabilitation Counselor may seek approval for a brief time extension. Timeline exceptions will be considered on a case-by-case basis and will be the exception, not the norm.
Program interruptions due to inadequate supply of critical medications will be documented as an AWARE Service Note by the assigned nurse, with an alert email distributed to all nursing staff, the assigned Rehabilitation Counselor, the DRS Counselor, and Behavioral Health Services, as indicated. The assigned Rehabilitation Counselor, or designee, will manage the consumer's status within AWARE.