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Medication Management, Drug Regimen Review, and Medication Limits for Aides

Sets out how the Agency manages each patient’s medications: a complete medication profile with allergies given prominence in the record; a drug regimen review for every patient; medications given by nurses only on a signed or properly recorded order, as prescribed, and recorded as administered; aides who assist only with medications ordinarily self-administered and never administer medications of any kind; vaccines given only under a policy developed with a physician or allowed practitioner after screening for contraindications; patient teaching and a written medication schedule; and how medication errors, adverse reactions, controlled substances, and disposal are handled.

Preview: full text with a package
About this policy
Policy number
CA-HH-MED-01
Version
1.0
Main rule
22 CCR §74701(f)
Library
California home health · 58 policies
Category
Clinical tasks
Sections
20

In short

  • Check every medication container with the patient and keep the medication list and allergies up to date.
  • Nurses give medications only as ordered and write down each dose given.
  • Aides may remind, bring, open, and read labels, but never give medication of any kind or fill pill boxes.
  • Report a missed dose, a side effect, or a medication error to the nurse and the practitioner right away.
  • Never take, carry, or throw away a patient’s controlled substances. Teach the family about take-back sites.

What's inside

20 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (22 CCR §74701(f))
  • 5. The Medication Profile
  • 6. Drug Regimen Review
  • 7. Medications Given by Nurses
  • 8. What Aides May and May Not Do With Medications
  • 9. Teaching and the Written Medication Schedule
  • 10. Influenza and Pneumococcal Vaccines
  • 11. Controlled Substances in the Home
  • 12. Medication Errors and Adverse Reactions
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Show me this patient’s medication profile and drug regimen review. Where are the allergies recorded?
  • What does a home health aide do, and not do, with a patient’s medications?

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