Medication Management, Drug Regimen Review, and Vaccines
Sets out how the Agency manages patients’ medications: the drug regimen review in every comprehensive assessment, medication reconciliation, follow-up of problems with the practitioner, the written medication schedule given to the patient, administration only on order, the aide’s limited role in medications ordinarily self-administered, teaching, adverse reactions and errors, controlled substances and disposal, and influenza and pneumococcal vaccines under a policy developed with a physician or other listed practitioner. Includes the Michigan Medicaid limits on nurse visits for oral medications and insulin syringes.
- Policy number
- MI-HH-MED-01
- Version
- 1.0
- Main rule
- 42 CFR §484.55(c)(5)
- Library
- Michigan home health · 57 policies
- Category
- Clinical tasks
- Sections
- 21
In short
- At every assessment, check all the patient’s medicines, including over-the-counter products, for interactions, side effects, duplicates and missed doses.
- Report any significant problem to the physician the same day and write down the answer.
- Give the patient an updated written medication schedule after every change.
- Aides only remind and help with medicines the patient normally takes alone.
- Never take a patient’s medicines out of the home. Teach the family about take-back and disposal options.
- Flu and pneumonia vaccines are given only under the Agency’s approved protocol, after checking for contraindications.
What's inside
21 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.55(c)(5))
- 5. Drug Regimen Review and Reconciliation
- 6. Follow-Up With the Practitioner
- 7. Written Medication Schedule and Teaching
- 8. Administration by Nurses
- 9. What Aides May Do With Medications
- 10. Adverse Drug Reactions and Medication Errors
- 11. Controlled Substances and Disposal
- 12. Influenza and Pneumococcal Vaccines
- 13. Michigan Medicaid Medication Visit Rules
- 14. Responsibilities
- 15. Records and Compliance Monitoring
- 16. Staff Training
- 17. References
- 18. Related Policies and Forms
- 19. Approval
- 20. Revision History
An inspector may ask
- Show me the drug regimen review and what you did about the interaction you found.
- Show me the medication schedule you gave this patient.
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