{"ref":"PA-HH-MED-01","title":"Medication Management and Drug Regimen Review","category":"Clinical tasks","summary":"Makes sure every patient has a current medication profile, that Agency staff check the medicines a patient may be taking for ineffective drug therapy, adverse reactions, significant side effects, drug allergies and contraindicated medication and promptly report problems to the physician (28 Pa. Code §601.31(d)), that nurses administer only ordered medications within their scope, that aides only assist with medications ordinarily self-administered, and that adverse reactions and errors are reported the same day.","inShort":["Check every medicine the patient takes, including over-the-counter and herbal products, at the start of care and at each change.","Look for medicines that may not work, side effects, allergies, interactions and duplicates, and report problems to the physician the same day.","Nurses give only medicines that are ordered, and record every dose given or not given.","Aides only help patients take medicines they normally take themselves.","For a serious reaction, call 911 first. Never take, carry or throw away a patient’s medicines."],"primaryCitation":"28 Pa. Code §601.31(d)","citations":["28 Pa. Code §601.31(d)","28 Pa. Code §601.35(b)","28 Pa. Code §601.3(b)","28 Pa. Code §601.36(a)","28 Pa. Code Chapter 25","49 Pa. Code §21.14","49 Pa. Code §21.145(b)","49 Pa. Code §21.145(e)","49 Pa. Code §21.413(b)","55 Pa. Code §1249.54(b)(4)","28 Pa. Code §51.3(g)(3)"],"federalCitations":["42 CFR §484.55(c)(5)","42 CFR §484.60(a)(2)(x)","42 CFR §484.60(b)(2)","42 CFR §484.60(e)(2)","42 CFR §484.80(g)(3)(iv)"],"surveyorAsks":["Show me this patient’s medication profile. When was the drug regimen review done, and what did you report to the physician?","What may your aides do with a patient’s medications?"],"forms":[{"ref":"PA-HH-MED-01-A","title":"Medication Profile and Drug Regimen Review"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §601.31(d))","5. Medication Profile","6. Drug Regimen Review","7. Administration of Medications by Nurses","8. What Home Health Aides May Do","9. Adverse Reactions and Medication Errors","10. Written Medication Schedule for the Patient","11. Vaccines","12. Controlled Substances, Storage, Teaching, and Disposal","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":"pa-hha","state":"Pennsylvania","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}}