{"ref":"DC-HSP-MED-01","title":"Drugs and Biologicals: Ordering, Drug Profile Review, Labeling and Safe Use","category":"Clinical tasks","summary":"Sets which drugs and biologicals the Agency provides, how the drug profile is reviewed at the comprehensive assessment and at each update, who may order drugs and how verbal orders are handled, how drugs are obtained from pharmacies and delivered, how the IDG decides whether the patient and family can safely give drugs at home, labeling, safe storage, the extra duties that apply only if the Agency runs its own inpatient facility, and how medication errors and adverse reactions are handled.","inShort":["The hospice provides, at no cost, the drugs related to the terminal illness that are in the plan of care.","At admission, list every drug the patient takes, including over-the-counter and herbal products, for the drug profile review.","Only a licensed nurse may take a verbal drug order. Read it back, record and sign it right away.","The team decides at every plan of care review whether the family can give each drug safely.","Aides only help with drugs the patient normally takes by himself or herself.","Report any medication error or bad reaction at once and complete an incident report."],"primaryCitation":"42 CFR §418.106","citations":["D.C. Code §48-901.02 et seq.","D.C. Code §48-903.02","D.C. Code §48-903.08","29 DCMR §939.20(g)","29 DCMR §939.23(c)","29 DCMR §939.24"],"federalCitations":["42 CFR §418.106(a)-(e)","42 CFR §418.54(c)(6)","42 CFR §418.56(c)(4)","42 CFR §418.76(g)(3)(iv)","42 CFR §418.100(c)(2)","42 CFR §418.202(f)","42 CFR §418.58(c)(2)"],"surveyorAsks":["Show me the drug profile review in this patient’s comprehensive assessment. Who reviewed it and what did they find?","How does the IDG decide whether this family can safely give medications at home?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.106)","5. Which Drugs the Agency Provides","6. Drug Profile Review","7. Who May Order Drugs, and Verbal Orders","8. Obtaining and Delivering Drugs","9. Administration and Self-Administration","10. Labeling and Safe Storage","11. If the Agency Provides Inpatient Care Directly","12. Medication Errors and Adverse Drug 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":"dc-hospice","state":"Washington, DC","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}}