{"ref":"CA-HH-MED-01","title":"Medication Management, Drug Regimen Review, and Medication Limits for Aides","category":"Clinical tasks","summary":"Sets out how the Agency manages each patient’s medications: a complete medication profile with allergies given prominence in the record; a drug regimen review for every patient; medications given by nurses only on a signed or properly recorded order, as prescribed, and recorded as administered; aides who assist only with medications ordinarily self-administered and never administer medications of any kind; vaccines given only under a policy developed with a physician or allowed practitioner after screening for contraindications; patient teaching and a written medication schedule; and how medication errors, adverse reactions, controlled substances, and disposal are handled.","inShort":["Check every medication container with the patient and keep the medication list and allergies up to date.","Nurses give medications only as ordered and write down each dose given.","Aides may remind, bring, open, and read labels, but never give medication of any kind or fill pill boxes.","Report a missed dose, a side effect, or a medication error to the nurse and the practitioner right away.","Never take, carry, or throw away a patient’s controlled substances. Teach the family about take-back sites."],"primaryCitation":"22 CCR §74701(f)","citations":["22 CCR §74701","22 CCR §74710(a)(7)","22 CCR §74735(a)(4)","22 CCR §74697(b)(4)","22 CCR §74697(b)(14)","22 CCR §74697(d)","22 CCR §74707(a)"],"federalCitations":["42 CFR §484.55(c)(5)","42 CFR §484.60(b)(1)","42 CFR §484.60(b)(2)","42 CFR §484.60(e)(2)","42 CFR §484.110(a)(2)"],"surveyorAsks":["Show me this patient’s medication profile and drug regimen review. Where are the allergies recorded?","What does a home health aide do, and not do, with a patient’s medications?"],"forms":[{"ref":"CA-HH-MED-01-A","title":"Medication Profile and Drug Regimen Review"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74701(f))","5. The Medication Profile","6. Drug Regimen Review","7. Medications Given by Nurses","8. What Aides May and May Not Do With Medications","9. Teaching and the Written Medication Schedule","10. Influenza and Pneumococcal Vaccines","11. Controlled Substances in the Home","12. Medication Errors and Adverse Reactions","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"ca-hha","state":"California","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}