{"ref":"DC-HH-MED-01","title":"Medication Management, Assistance with Self-Administration, and Drug Regimen Review","category":"Clinical tasks","summary":"Sets out how the Agency keeps an accurate medication profile and allergy history for every patient, reviews the drug regimen, gives medications only as ordered and only by licensed nurses, limits aides to assisting with self-administration, teaches patients with a written medication schedule, gives vaccines only under an approved protocol, and handles medication errors and adverse drug reactions.","inShort":["The nurse keeps a list of every medicine the patient takes and all allergies, and checks it at each visit.","Aides may remind the patient, bring and open the container, read the label, and watch the patient take it. Aides never give medicines.","For DC Medicaid personal care clients, aides give only reminders or verbal cues.","Tell the nurse the same day about missed or refused doses, new symptoms, or medicines that look different.","If a medication error or reaction happens, make the patient safe first, then tell the supervising nurse and the practitioner at once."],"primaryCitation":"22-B DCMR §3914.3(d)","citations":["22-B DCMR §3911.2","22-B DCMR §3914.3","22-B DCMR §3915.10","22-B DCMR §3915.11","22-B DCMR §3917.2","22-B DCMR §3920.3","17 DCMR §9315.1","17 DCMR §9315.2","29 DCMR §5006.7","29 DCMR §5006.8","D.C. Code §7-161"],"federalCitations":["42 CFR §484.55(c)(5)","42 CFR §484.60(a)(2)","42 CFR §484.60(b)(1)","42 CFR §484.60(b)(2)","42 CFR §484.60(e)(2)","42 CFR §484.80(g)(3)"],"surveyorAsks":["Show me this patient’s medication profile and allergy history. When was it last reviewed?","Show me the drug regimen review and what the nurse did about the problem found."],"forms":[{"ref":"DC-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-B DCMR §3914.3(d))","5. Medication Profile and Allergy History","6. Drug Regimen Review","7. Medications in the Plan of Care","8. Who May Do What With Medications","9. Assisting With Self-Administration","10. Nurse Administration","11. Written Medication Schedule and Teaching","12. Vaccines","13. Controlled Substances and Disposal","14. Medication Errors and Adverse Drug Reactions","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"dc-hha","state":"Washington, DC","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}}