{"ref":"TX-CL-07","title":"Sterile Water, Saline, Vaccines, and Drugs","category":"Clinical tasks","summary":"Covers whether the Agency keeps or gives sterile water, saline, vaccines, or other drugs, and how they are stored and recorded if it does.","inShort":["We do not keep or give shots, vaccines, IV fluids, sterile water, or saline to anyone.","Never give a shot, flush an IV line, or mix any drug, even if a client or family member asks.","Use a client’s own sterile water or saline only if that task is in the service plan for you.","If someone asks, kindly say you are not allowed and call the office. In an emergency, call 911 first.","If your work can expose you to blood, we offer the hepatitis B vaccine free, given by an outside clinic or pharmacy."],"primaryCitation":"26 TAC §558.303","citations":["26 TAC §558.303","Tex. Health & Safety Code §142.0061","Tex. Health & Safety Code §142.0062","Tex. Health & Safety Code §142.0063","Tex. Health & Safety Code §483.001","Tex. Health & Safety Code ch. 81","26 TAC §558.404","26 TAC §558.285","26 TAC §558.286","26 TAC §558.301"],"federalCitations":["29 CFR §1910.1030","29 CFR §1910.1020"],"surveyorAsks":["Does the Agency purchase, store, or transport sterile water, saline, vaccines, tuberculin, or any dangerous drug? Where is that decision recorded?","What does an attendant do if a client asks for an injection, an IV flush, or help with sterile saline?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.303)","5. What the Rule Allows","6. Procedure: What Staff Do If Asked","7. Staff Vaccination and Testing Through Outside Providers","8. Alternative Procedure A: If the Agency Holds Vaccines or Tuberculin","9. Alternative Procedure B: Sterile Water, Saline, and Dangerous Drugs (Home Health or Hospice License Only)","10. Staff Training","11. Responsibilities","12. Records and Compliance Monitoring","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","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}}