Drugs and Biologicals: Ordering, Drug Management Review, Labeling and Safe Use
Sets out how the Agency provides drugs and biologicals related to the terminal illness, how the interdisciplinary group reviews each patient’s drugs with a person trained in drug management, who may order drugs, how verbal orders are handled, how drugs are obtained, labeled, administered and stored safely in the home, and how the Agency handles emergency drug containers, vaccines and adverse reactions.
About this policy
- Policy number
- TX-HSP-MED-01
- Version
- 1.0
- Main rule
- 42 CFR §418.106
- Library
- Texas hospice · 59 policies
- Category
- Clinical tasks
- Sections
- 24
In short
- Only a physician or an advanced practice nurse may order drugs. Do not accept a drug order from a physician assistant alone.
- Take a phone order only if you are a licensed nurse. Write it down, read it back and sign it right away; the prescriber signs within 14 days.
- Report any adverse reaction to your supervisor and record it the same day.
- Check that each drug is labeled and stored safely, and teach the family how to give it.
- Aides only remind, open containers and help patients take their own medicine.
- Return a sealed emergency drug container to the pharmacy by the seventh day after the seal is broken, or by the date on its label if that is sooner.
What's inside
24 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (26 TAC §558.861(a)-(h); 42 CFR §418.106)
- 5. Which Drugs the Agency Provides
- 6. Drug Review and Drug Management Consultation
- 7. Who May Order Drugs, and Verbal Orders
- 8. Obtaining and Delivering Drugs
- 9. Administration and Self-Administration
- 10. Labeling (26 TAC §558.861(g))
- 11. Safe Use and Storage in the Home (26 TAC §558.861(h))
- 12. Sterile Water, Saline, Vaccines and Dangerous Drug Containers (26 TAC §558.303)
- 12.1 Sterile water and saline
- 12.2 Vaccines and tuberculin
- 12.3 Sealed portable containers of dangerous drugs
- 13. 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
- Who is your person with education and training in drug management, and how can you show their training?
- Show me the drug review for this patient. Did the IDG look for interactions and duplicate therapy?
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