{"ref":"TX-HH-MED-01","title":"Medication Management, Administration, and Drug Regimen Review","category":"Clinical tasks","summary":"Requires a current medication profile for every patient, a drug regimen review at each comprehensive assessment and whenever medications change, medication administration only on a practitioner’s order with a current administration record, same-day reporting of adverse reactions, a written medication schedule for the patient, and clear limits on what aides may do with medications.","inShort":["Keep every patient’s medication list current, including over-the-counter and herbal products.","Nurses review all medications at each assessment and when anything changes, and report problems to the practitioner the same day.","Give medications only as ordered, and record every dose given and every dose not given with the reason.","Report any reaction to a medication to your supervisor and write it in the record the same day. After hours, call (512) 555-0199 as soon as you learn of it.","Aides may remind and help with medications the patient takes on his or her own, but may not give medications unless an RN delegated it."],"primaryCitation":"26 TAC §558.300","citations":["26 TAC §558.300","26 TAC §558.281","26 TAC §558.292","26 TAC §558.301","26 TAC §558.2","22 TAC §217.11","22 TAC §225.4","22 TAC §225.13"],"federalCitations":["42 CFR §484.55(c)(5)","42 CFR §484.60(a)(2)(x)","42 CFR §484.60(b)(1)","42 CFR §484.60(e)(2)","42 CFR §484.80(g)(3)(iv)","42 CFR §484.110(a)(2)"],"surveyorAsks":["Show me this patient’s medication profile and the drug regimen review from the last comprehensive assessment. What problems did the nurse find and what was done?","Which medications do your staff administer for this patient? Show me the order and the medication administration record."],"forms":[{"ref":"TX-HH-MED-01-A","title":"Medication Profile and Drug Regimen Review"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.300)","5. Medication Profile","6. Drug Regimen Review","7. Medication Administration by Agency Staff","8. What Home Health Aides May Do","9. Adverse Reactions and Medication Errors","10. Written Medication Schedule for the Patient","11. Teaching, Storage, and Disposal 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":"tx-lhhs","state":"Texas","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 Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}