{"ref":"MI-HSP-MED-01","title":"Drugs and Biologicals: Ordering, Pharmacy Services, Drug Control and Safe Use in the Home","category":"Clinical tasks","summary":"Sets out how the Agency provides the drugs and biologicals in each plan of care while the patient is in its care: licensed pharmacy services available at all hours, drug profile review, who may order drugs and take verbal orders, how drugs reach the home, how the care team decides whether the patient or caregiver can safely give them, teaching with return demonstration, labeling, the drug control rules staff follow, and how errors and reactions are handled.","inShort":["The Agency provides the drugs in the plan of care that relate to the terminal illness, while the patient is in our care.","Take a verbal or phone order only if you are a licensed nurse authorized by policy. Write it down, read it back and sign it.","The care team decides whether the patient or caregiver can safely give medicines at home. Teach them and have them show you.","Check that every medicine is labeled with its use, storage and expiration information.","Report any medication error or bad reaction to the prescriber and the RN case manager at once, and complete an incident report."],"primaryCitation":"Mich. Admin. Code R 325.45215","citations":["Mich. Admin. Code R 325.45215","Mich. Admin. Code R 325.45353(6)","Mich. Admin. Code R 325.45367(2)-(3)","Mich. Admin. Code R 325.45199","Mich. Admin. Code R 325.45345(1)(i)","Mich. Admin. Code R 325.45201(1)(c)","MCL 333.21418"],"federalCitations":["42 CFR §418.106","42 CFR §418.54(c)(6)","42 CFR §418.56(c)(4)","42 CFR §418.100(c)(2)","42 CFR §418.104(a)(3)","42 CFR §418.202(f)"],"surveyorAsks":["Which pharmacy serves your patients, and how does a nurse get a needed drug at 2 a.m.?","Show me this patient's drug profile review and how the team acted on it."],"forms":[{"ref":"MI-HSP-MED-01-A","title":"Patient and Caregiver Medication Teaching and Ability to Administer Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45215)","5. Pharmacy Services","6. Which Drugs the Agency Provides","7. Drug Profile Review","8. Ordering Drugs and Verbal Orders","9. Obtaining and Delivering Drugs","10. Who Gives Medications in the Home","11. Teaching and Return Demonstration","12. Labeling and Storage","13. Resource Materials","14. Medication Errors and Adverse Reactions","15. Staff Competence","16. Pharmacy Services and Laboratory Rules","17. Responsibilities","18. Records and Compliance Monitoring","19. Staff Training","20. References","21. Related Policies and Forms","22. Approval","23. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","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}}