California Nursing Home Administrator License Practice Exam

Is it true that a nurse may provide OTC medications without a health care provider's orders?

1. True

2. False

3. Only in emergencies

4. Depends on the medication type

The correct answer is: False

In a nursing home or skilled nursing facility, regulations typically require that medications, including over-the-counter (OTC) medications, must be administered according to a health care provider's orders. This is to ensure proper oversight of patient care and medication management. Nurse administrators and staff must follow strict protocols to avoid potential dangers associated with self-medication and adverse reactions, which can occur if a nurse provides OTC medications without a prescriber’s guidance. In contrast, there are specific situations where certain medications may be administered without a direct order, but these usually require established protocols or policies that align with state regulations. However, by default, the safety measures in place emphasize the necessity of having a health care provider involved in the decision-making process regarding any medication, even those that are available over-the-counter. This approach protects the residents and promotes a standardized practice within healthcare facilities. Understanding that a nurse cannot independently administer OTC medications without a provider's orders aligns with principles of patient safety and regulatory compliance.