{"ref":"FL-HSP-MED-01","title":"Drugs and Biologicals: Orders, Pharmaceutical Services and 24-Hour Availability","category":"Clinical tasks","summary":"Sets how the Agency provides drugs and biologicals related to the terminal illness: medication orders signed by a Florida physician, the drug profile review, the Florida pharmacist who directs pharmaceutical services in residential and inpatient settings, procedures that make medications available 24 hours a day, 7 days a week, who may give medications, self-administration by the patient and family, labeling and storage, and reporting of medication errors and adverse reactions.","inShort":["Patients can get the medicines they need 24 hours a day, 7 days a week. Use the on-call line and the 24-hour pharmacy.","Every medication order needs the drug, dose, how often and route, signed by a Florida physician.","Teach families each medicine and check they can give it safely.","Aides and volunteers never give medications.","Report every medication error or bad reaction the same day on an incident report."],"primaryCitation":"Rule 59A-38.004(3)(a)5.-8., F.A.C.","citations":["Rule 59A-38.004(3)(a)5.-6., 8., F.A.C.","Rule 59A-38.006(2), (5)(f), F.A.C.","Rule 59A-38.008(2)(b)1., F.A.C.","Rule 59A-38.018(15), F.A.C.","Chapter 465, F.S.","Chapter 893, F.S."],"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)"],"surveyorAsks":["How do you make sure a patient can get a needed medication at 2 a.m. on a Sunday?","Show me the drug profile review for this patient and how problems were acted on."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-38.004(3)(a)5.-8., F.A.C.; 42 CFR §418.106)","5. Which Drugs the Agency Provides","6. Drug Profile Review","7. The Pharmacist and Pharmaceutical Services","8. Medications 24 Hours a Day, 7 Days a Week","9. Ordering Drugs","10. Who Gives Medications","11. Self-Administration by the Patient and Family","12. Labeling and Storage","13. Medication Errors and Adverse Reactions","14. Patients in Facilities","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":"fl-hospice","state":"Florida","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}}