Drugs and Biologicals: Ordering, Drug Profile Review, Labeling and Safe Use
Sets out how the Agency provides drugs and biologicals related to the terminal illness and related conditions, how the interdisciplinary group reviews each patient's drug profile, who may order drugs under federal and Pennsylvania rules, how oral orders are handled, and how drugs are obtained, labeled, given and stored safely in the home.
About this policy
- Policy number
- PA-HSP-MED-01
- Version
- 1.0
- Main rule
- 42 CFR §418.106
- Library
- Pennsylvania hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 21
In short
- The hospice provides the drugs for the terminal illness and related conditions that are in the plan of care.
- Write down and sign a verbal order straight away, read it back, and make sure the prescriber signs it within 14 days.
- LPNs take oral orders only where Policy PA-HSP-IDG-03 allows. Question any order that seems unsafe or unclear.
- Check every label. Do not use a drug whose label is missing, wrong or expired.
- Aides only help patients take their own medicines. Volunteers and homemakers never handle medicines.
- Report any medication error or reaction to the clinical manager the same day.
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 §418.106)
- 5. Which Drugs the Agency Provides
- 6. Drug Profile Review
- 7. Who May Order Drugs
- 8. Verbal and Oral Orders
- 9. Obtaining and Delivering Drugs
- 10. Administration and Self-Administration
- 11. Labeling
- 12. Safe Use and Storage in the Home
- 13. Adverse Reactions, Medication Errors and Concerns
- 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 profile review for this patient. Did the IDG look for interactions, side effects and duplicate therapy?
- Who may order drugs for your patients? What about a nurse practitioner or a physician assistant?
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