{"ref":"NC-HC-SVC-04","title":"Medication Reminders and Assistance with Self-Administration","category":"Clinical tasks","summary":"Defines the only medication help the Agency's workers give: spoken reminders by any worker, and assistance with self-administration by in-home aides for a client the registered nurse has found able to direct his or her own medications. Sets the steps, what workers never do, how refusals, errors and reactions are reported, and confirms that the Agency does not administer medications.","inShort":["Aides may help clients take their own medications, but never give medications.","Companions and sitters give spoken reminders only.","Use only the steps you were taught: remind, bring the container, read the label with the client, open it if asked.","Never fill pill organizers, crush pills, give drops, inhalers, creams or injections, or decide on a dose.","Record every dose, and tell the registered nurse the same day about refusals, mistakes or reactions."],"primaryCitation":"10A NCAC 13J .1107(c)(3)","citations":["10A NCAC 13J .1107(c)(3)","10A NCAC 13J .0901(15), (18)","10A NCAC 13J .1501(2)","10A NCAC 13J .1202(b)(5)","10A NCAC 13J .1301","10A NCAC 13J .1302","21 NCAC 36 .0221(b), (c)","G.S. 131E-136(5)","G.S. 131E-256(a)(1)","NC Medicaid Clinical Coverage Policy 3L, §3.3(a)(4), §3.4","DHSR Home Care Frequently Asked Questions, Q53"],"federalCitations":[],"surveyorAsks":["Do your aides administer medications? What exactly do they do?","Show me how the registered nurse decided this client can self-administer with assistance."],"forms":[{"ref":"NC-HC-SVC-04-A","title":"Medication Assistance Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1107(c)(3))","5. The Agency Does Not Administer Medications","6. Who May Do What","7. Before an Aide Assists","8. Steps for Assistance with Self-Administration","9. What Workers Never Do","10. Refusals, Errors and Reactions","11. Storage and Safety","12. NC Medicaid Personal Care Services","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":"nc-hca","state":"North Carolina","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}}