Medication Administration, Drug Regimen Review, and Vaccines
Sets who may administer medications and who may only assist with self-administration, the staff accountability North Carolina requires for every drug or treatment the Agency gives, the drug regimen review in every comprehensive assessment, the written medication schedule for the patient, the influenza and pneumococcal vaccine protocol, and how medication problems and errors are reported.
About this policy
- Policy number
- NC-HH-MED-01
- Version
- 1.0
- Main rule
- 10A NCAC 13J .1301
- Library
- North Carolina home health · 57 policies
- Category
- Clinical tasks
- Sections
- 19
In short
- Only licensed nurses give medications. Aides may only help patients take their own medications.
- At every comprehensive assessment the RN reviews every medication in the home for side effects, interactions, duplicates and missed doses.
- Report any medication problem or reaction to the physician the same day, and call 911 first in an emergency.
- Give the patient a written medication schedule and update it whenever a medication changes.
- Never carry, borrow or take patients’ medications out of the home. Report any missing medication to the supervising nurse.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (10A NCAC 13J .1301; 42 CFR §484.55(c)(5) and §484.60(b))
- 5. Who May Do What
- 6. Staff Accountability for Each Drug or Treatment
- 7. Medication Profile and Drug Regimen Review
- 8. Teaching and the Medication Schedule
- 9. Influenza and Pneumococcal Vaccines
- 10. Medication Problems and Errors
- 11. Patients’ Medications 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
An inspector may ask
- Show me the drug regimen review for this patient. What did the nurse find, and was the physician told?
- Can your aides give medications? What exactly may they do?
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