{"ref":"NC-HSP-MED-01","title":"Drugs and Treatments: Orders, Administration and Drug Regimen Review","category":"Clinical tasks","summary":"Sets the Agency's written policies for the administration of drugs and treatments (10A NCAC 13K .0801(a)): signed original orders, faxed and verbal orders, signature of changes within the Agency's time frame and never later than 30 days, monitoring of each patient's drug regimen for optimal symptom control by the professionals North Carolina names, who gives medications at home and in facilities, documentation by the licensed nurse of all medications given, and, if the Agency is Medicare-certified, the drug profile, ordering, dispensing, administration and labeling rules of 42 CFR §418.106.","inShort":["No drug or treatment is given without an order. A verbal order is written down and signed right away by the nurse who takes it.","Changes in drugs must be signed by the physician within 14 days, and never later than 30 days.","A registered nurse checks every patient's drugs at each visit for good symptom control and reports problems to the physician the same day.","At home the family usually gives the medications. The nurse teaches them and records every medication given, including those the family gives.","Report any medication error or reaction to the physician and the Director of Nursing at once."],"primaryCitation":"10A NCAC 13K .0801","citations":["10A NCAC 13K .0801(a)-(e)","10A NCAC 13K .0802(a)-(e)","10A NCAC 13K .0301(a)(8)","10A NCAC 13K .0601(3)","10A NCAC 13K .0901(b)(10)","NC Medicaid Clinical Coverage Policy 3D, section 5.10(b)"],"federalCitations":["42 CFR §418.106 (introductory text), (a)-(e)(1)","42 CFR §418.54(c)(6)","42 CFR §418.56(c)(4)","42 CFR §418.202(f)"],"surveyorAsks":["Show me the signed original order for this patient's drugs and treatments, and the signature dates of the changes.","Who reviews each patient's drug regimen, and where is the review recorded?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0801)","5. Which Drugs the Agency Provides","6. Orders for Drugs and Treatments","7. Drug Profile and Drug Regimen Review","8. Who Gives Medications","9. Documenting Medications","10. Labeling and Teaching","11. Medication Errors and Adverse Drug Reactions","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-hospice","state":"North Carolina","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}}