{"ref":"TX-HH-MED-02","title":"Sterile Water, Saline, Vaccines, Tuberculin, and Dangerous Drugs","category":"Clinical tasks","summary":"Records whether the Agency itself buys, stores, or carries sterile water or saline, vaccines or tuberculin, or the emergency and infusion drugs listed in 26 TAC §558.303, and sets out the standing order, sealed container, oral order, and pharmacy return rules that apply if it does. Also covers influenza and pneumococcal vaccines for patients.","inShort":["The Agency does not keep its own stock of saline, flushes, vaccines, or emergency drugs.","Use only supplies and medications that a pharmacy dispensed for the patient, and check the label and expiration date first.","Do not accept samples or supplies from a pharmacy or vendor for Agency use.","If a practitioner asks us to give a flu shot or TB skin test, tell your case manager.","In an emergency, call 911 and give care within your license."],"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 §81.003","26 TAC §558.301"],"federalCitations":["42 CFR §484.60(b)(2)","29 CFR §1910.1030(f)"],"surveyorAsks":["Do your nurses carry saline, heparin flushes, or an anaphylaxis kit? Show me the container records and the protocol.","Show me the standing order for the flu vaccine and how the nurse screened this patient for contraindications."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.303)","5. What the Rule Allows","6. What Staff Do","7. Influenza and Pneumococcal Vaccines for Patients (If Adopted)","8. Alternative Procedure A: Holding Vaccines or Tuberculin (If Adopted)","9. Alternative Procedure B: Sterile Water, Saline, and Listed Dangerous Drugs (If Adopted)","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. 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}}