Submission Instructions for Emergency/STAT Medications
Online CFS 431-A Submission Instructions for Emergency/STAT Medications
Online CFS 431-A Submission Instructions for Emergency/STAT Medications
Visit this website to access the online portal for DCFS consent submissions: https://guardianconsent.dcfs.illinois.gov. Click the link entitled ‘Submit a Request for Consent.’ To submit for psychotropic medications, click the link for CFS 431-A: Psychotropic Medication.
*A NOTE ON VERBIAGE: Some clinical staff may refer to STAT/one-time emergency medications as PRNs. There is a reason our office does not use this term and is rigid on the nomenclature. DCFS rule 325 is for the Administration of psychotropic medications to children for whom the department of children and family services is legally responsible. DCFS Rule 325, Section 325.3, under general provisions, subsection B states:
“PRN medications for the purpose of behavioral management, inducing sleep, or treating other emotional, behavioral or psychiatric illnesses are prohibited.”
REQUESTOR INFORMATION:
The first page asks who is submitting the form. Prescribers are required to notify DCFS Guardian’s office, in writing, of the administration of STAT medications, whether it is the provider or staff in an inpatient unit or residential facility. First name, last name, email, and phone number of the submitter are required. Providing an extension is not required but allows the research staff direct access to needed clinical information which will expedite the request for consent. If an email is not available, include your preferred fax number to assure you receive the consent.
YOUTH INFORMATION:
The first name, last name, DOB, placement type, and name of placement are required. If available, please include the youth’s DCFS ID. ID must be 8 characters and cannot end in 00.
PRESCRIBER INFORMATION:
The first name, last name, specialty, and phone number are required information in case we need to reach out with questions. Always only add ATTENDING physicians and FELLOWS to the consent, never Residents.
*If provider has never submitted a consent to DCFS before, adding an NPI number in the “Other” box helps us add the correct provider to our system without needing to call the submitter to clarify the physician’s identity.
CLINICAL INFORMATION:
You are first asked for the request type. Indicate if the request is for a one-time emergency medication notification, select “Yes.” The rest of the boxes on the page will disappear and you can go on to the next page.
CURRENT MEDICATION:
Since you indicated that the request is for a one-time emergency medication notification, you can but are not obligated to add all the current medications that the youth is actively taking. The rest of the boxes on the page will disappear if you select “no” for whether youth is taking current medication, and you can go on to the next page.
REQUESTED MEDICATION:
- Below the type of request, you are asked to indicate if youth is taking the medication without consent. Select “No.”
- The medication name is required.
- The medication form is required. If you choose “Solution”, you will be asked to provide the concentration of the solution.
- Medication dosage: Enter the dosage in mg.
- Provide the date and time given of the emergency medication. *Be sure to add a space between the numerical time (1:51) and the 12-hour designation (am and pm) or you will get a formatting error message (i.e. 01/01/2025 08:15 AM)
- List the symptoms and/or behaviors prompting the administration of the medication.
- Once everything is entered, click “Submit” and the medication information will be displayed in the table.
- Add as many emergency medications as needed if multiple emergency medications were given at the same time or at a different time or date.
- You may disregard the request for lab work for emergency medications.
ADDITIONAL INFORMATION:
You are asked to confirm if the medications have been reviewed with the youth and whether the youth objects to the medication. The third box asks if there is any additional information relevant to the request that has not been captured elsewhere. Upload any attachments at the bottom of the page under ‘Attachments.’
PROMPT:
The last page requests a CAPTCHA prompt to prove you are human before allowing submission of the consent request. A copy of the completed consent request form will be sent to the email you provided on page 1 for your records and as confirmation of your submission.
CFS 431-A: Emergency Medication Submission Instructions
This video demos the online CFS 431-A instructions for emergency/STAT medications.
Click here to view full audio transcript.