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Administration and Documentation of Medications |
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Manual: Hospice Policy and Procedure Manual (Ver 4) External Reference: "(TJC: MM.5.10)(COP: §418.96(a),(c))"
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Hospice Policy and Procedure Manual includes this customizable template, Administration and Documentation of Medications. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch. Here is some sample content from Administration and Documentation of Medications:
| | PURPOSE:
To identify medication administration circumstances.
POLICY:
Hospice licensed Nursing staff will administer and document only ordered medications that are a part of the plan of care.
Non-licensed staff may, with instruction, supervise and help the patient's self-administration of medication.
Non-licensed staff may document assisting the patient in his/her self-administration of medication when not prohibited by state law or regulation.
Hospice has current drug books available for staff. These books provide drug information and patient education sources that are referenced... |
| Second excerpt: |
| | ...The RN gives all medications ordered for administration by a physician. Complete an Incident Report Form on variances.
Note in the medical record all medications refused, held and/or omitted by the patient and family. Inform the attending physician.
The RN may ask the patient, family or caregiver to document self-administered medications. A patient self-medication checklist may be prepared and left in the home for use. This is a service only document and is not to be incorporated into... |
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