{"ref":"CA-HSP-MED-01","title":"Drugs and Biologicals, Medication Administration and Legend Devices","category":"Clinical tasks","summary":"Sets out how the Agency provides, orders, obtains, labels, stores and administers drugs and biologicals, how each patient's ability to self-administer is decided, what the medication administration record must show when Agency personnel give medications, how adverse reactions and errors are handled, and the annual review of the Agency's legend device policies by a physician, a pharmacist and a registered nurse.","inShort":["Check every medicine the patient takes, including over-the-counter drugs, at every nursing visit.","Take verbal orders only if you are a licensed nurse. Write them down, read them back and get them signed.","If you give a medicine, record the name, dose, route, time, the patient's response and your signature.","Report any bad reaction to the patient's registered nurse right away.","Teach the family in their own language and check they understood."],"primaryCitation":"42 CFR §418.106","citations":["Cal. Health & Safety Code §1747.5","Cal. Health & Safety Code §1753(b)","Cal. Bus. & Prof. Code §4022","22 CCR §74864(b)(2)(F)","22 CCR §74868(c)(8), (14)","22 CCR §74892(j), (k), (m)","22 CCR §74908(b)(5), (8)"],"federalCitations":["42 CFR §418.106(a)-(e)","42 CFR §418.56(c)(4)"],"surveyorAsks":["Show me this patient's medication list with the written instructions for each medication.","Your nurse gave a medication on this visit. Show me the medication administration record."],"forms":[{"ref":"CA-HSP-MED-01-A","title":"Legend Device Policy Annual Review Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.106; Health & Safety Code §1747.5)","5. Medication Review and Reconciliation","6. Ordering Drugs","7. Obtaining and Dispensing Drugs","8. Labeling","9. Who Gives Medications","10. Medication List and Medication Administration Record","11. Adverse Reactions and Medication Errors","12. Storage and Safety in the Home","13. Legend Devices","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"ca-hospice","state":"California","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}