{"ref":"MO-HC-SVC-06","title":"Assistance with Self-Administered Medication","category":"Clinical tasks","summary":"In-home workers never administer medication. A worker may assist a participant who takes his or her own medication, for example by opening bottles and getting water, and may apply nonprescription topical products to unbroken skin. A certified APC aide may give manual assistance with medications a licensed nurse has set up. A nurse on an authorized visit may fill insulin syringes and set up oral medications. Workers watch for and report missed doses, refusals, side effects and errors.","inShort":["Never give medication; you may only help a participant take his or her own.","You may open bottles, read labels, pour water, and apply non-prescription lotion to unbroken skin.","Never fill pill boxes or insulin syringes, crush pills, or put medication in a participant's mouth.","Call 911 for breathing trouble, swelling of the face or throat, or if the participant is very hard to wake.","Report missed doses, refusals and side effects to the office the same visit."],"primaryCitation":"19 CSR 15-7.021(13)(C)","citations":["19 CSR 15-7.021(13)(A), (C)","19 CSR 15-7.021(7)(M)","19 CSR 15-7.021(18)(I)7, 13","13 CSR 70-91.010(2)(B)6","13 CSR 70-91.010(5)(B)5, 7","13 CSR 70-91.010(6)(D)1-2","MO HealthNet Personal Care Provider Manual §§2.1, 2.6, 2.7"],"federalCitations":[],"surveyorAsks":["What may your aides do when a participant takes medication?","Who sets up medications in pill organizers, and where is it documented?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 15-7.021(13)(C))","5. Who May Give Which Help","6. What Workers May Do","7. What Workers Must Never Do","8. When a Participant Cannot Self-Administer","9. Observing and Reporting","10. Medications in the Home","11. Documentation","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"mo-hca","state":"Missouri","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}