{"ref":"TX-CL-05","title":"Medication Administration","category":"Clinical tasks","summary":"Says what staff may and may not do with a client’s medicines, who to call when something is wrong, and the medication list, administration record, and delegation safeguards that apply if Agency staff ever administer medications.","inShort":["You may remind clients, open bottles, read labels aloud, and help reorder medicines from the pharmacy.","Help a client take a medicine only if the service plan allows it and the client tells you each step.","Never choose a dose, crush or split pills, fill pill boxes, or give shots. Kindly say no and call the office.","If a client has trouble breathing or passes out, call 911. For a wrong dose, call Poison Help: 1-800-222-1222.","Tell your supervisor the same day about any reaction, missed or refused dose, or medicine change. Never take a client’s medicine."],"primaryCitation":"26 TAC §558.300","citations":["26 TAC §558.300","26 TAC §558.2","26 TAC §558.404","26 TAC §558.245","26 TAC §558.298","26 TAC §558.301","26 TAC §558.249","22 TAC ch. 225","22 TAC §225.9","22 TAC §225.10","22 TAC §225.11","22 TAC §225.12","22 TAC §225.13","Tex. Occ. Code §157.001"],"federalCitations":[],"surveyorAsks":["Do your staff administer medications to any client, or only help clients take their own? Where is that decision recorded?","Show me the service plan for a client who gets help with medicines. Where does it say what the attendant does?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.300)","5. What Attendants May and May Not Do","6. When Something Is Wrong: Who to Call","7. Procedure for Help with Self-Administration","8. Where the Agency Administers Medications (26 TAC §558.300)","9. Gastrostomy Tube Feeding and Medication (26 TAC §558.404(h))","10. Follow-Up of Medication Problems","11. Responsibilities","11.1 Staff Training","12. Records and Compliance Monitoring","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.1","sample":false,"pack":"tx-pas","state":"Texas","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Home Care Agency","legalName":"Sample Home Care Agency, LLC","logo":null}}