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Sterile Water, Saline, Vaccines, Tuberculin, and Dangerous Drugs

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.

Preview: full text with a package
About this policy
Policy number
TX-HH-MED-02
Version
1.0
Main rule
26 TAC §558.303
Library
Texas home health · 56 policies
Category
Clinical tasks
Sections
17

In short

  • 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.

What's inside

17 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 (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

An inspector may ask

  • 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.

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