{"ref":"NC-HH-MED-01","title":"Medication Administration, Drug Regimen Review, and Vaccines","category":"Clinical tasks","summary":"Sets who may administer medications and who may only assist with self-administration, the staff accountability North Carolina requires for every drug or treatment the Agency gives, the drug regimen review in every comprehensive assessment, the written medication schedule for the patient, the influenza and pneumococcal vaccine protocol, and how medication problems and errors are reported.","inShort":["Only licensed nurses give medications. Aides may only help patients take their own medications.","At every comprehensive assessment the RN reviews every medication in the home for side effects, interactions, duplicates and missed doses.","Report any medication problem or reaction to the physician the same day, and call 911 first in an emergency.","Give the patient a written medication schedule and update it whenever a medication changes.","Never carry, borrow or take patients’ medications out of the home. Report any missing medication to the supervising nurse."],"primaryCitation":"10A NCAC 13J .1301","citations":["10A NCAC 13J .1102(b)","10A NCAC 13J .1107(c)","10A NCAC 13J .1301","10A NCAC 13J .1302","21 NCAC 36 .0221","21 NCAC 36 .0403"],"federalCitations":["42 CFR §484.55(c)(5)","42 CFR §484.60(b)","42 CFR §484.60(e)","42 CFR §484.110(a)"],"surveyorAsks":["Show me the drug regimen review for this patient. What did the nurse find, and was the physician told?","Can your aides give medications? What exactly may they do?"],"forms":[{"ref":"NC-HH-MED-01-A","title":"Medication Profile and Drug Regimen Review"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1301; 42 CFR §484.55(c)(5) and §484.60(b))","5. Who May Do What","6. Staff Accountability for Each Drug or Treatment","7. Medication Profile and Drug Regimen Review","8. Teaching and the Medication Schedule","9. Influenza and Pneumococcal Vaccines","10. Medication Problems and Errors","11. Patients’ Medications in the Home","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":"nc-hha","state":"North Carolina","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}}