{"ref":"MO-HH-MED-01","title":"Medication Management, Drug Regimen Review, Agency-Held Drugs, and Vaccines","category":"Clinical tasks","summary":"Sets out the drug regimen review in every comprehensive assessment and update, the written medication schedule every patient receives, how nurses administer medications only as ordered, the limits on aide help with medications, the drugs a Missouri home health agency and its nurses may possess without a pharmacy permit under 20 CSR 2220-2.010(5) (and the policies that rule requires), influenza and pneumococcal vaccines, patients' controlled substances and safe disposal, and medication errors and reactions.","inShort":["Check every medication the patient takes, including over-the-counter and herbal products, at every assessment.","Report possible side effects, interactions, duplicates or missed doses to the practitioner the same day.","Give each patient a written medication schedule that shows which medications our staff will give.","Aides may only remind, bring and open containers. They never give medications.","Nurses may carry only the drugs Missouri allows, stored as the manufacturer requires. Never take a patient's controlled substances."],"primaryCitation":"42 CFR §484.55(c)(5) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","20 CSR 2220-2.010(5)","RSMo §335.016(16)"],"federalCitations":["42 CFR §484.55(c)(5)","42 CFR §484.55(d)","42 CFR §484.60(b)","42 CFR §484.60(d)(5)","42 CFR §484.60(e)(2)","42 CFR §484.80(g)(3)(iv)","21 CFR §1317.30"],"surveyorAsks":["Show me the drug regimen review for this patient and what was done about the problems it found.","Which medications does the patient's written schedule say your staff will give?"],"forms":[{"ref":"MO-HH-MED-01-A","title":"Drug Regimen Review Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.55(c)(5) (adopted by 19 CSR 30-26.010(1)(A)))","5. Medication Profile and Drug Regimen Review","6. Written Medication Schedule for the Patient","7. Administration by Nurses","8. How Aides May Help With Medications","9. Drugs the Agency and Its Nurses May Possess","10. Influenza and Pneumococcal Vaccines","11. Patients' Controlled Substances and Medication Disposal","12. Medication Errors and Adverse 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":"mo-hha","state":"Missouri","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}}