Policy Manual sample

MDT Home Health Care Agency, Inc. MEDICATION MANAGEMENT PATIENT INFORMATION PURPOSE: To facilitate continuity of care, treatment and/or services for MDT Home Health Care Agency, Inc. patients by providing accurate and comprehensive information about patients’ medications. To create and maintain an accurate medication history and current medication profile while the patient is receiving care, treatment and/or services from MDT Home Health Care Agency, Inc. To safely order, prepare, dispense, administer and monitor MDT Home Health Care Agency, Inc. patients’ medications. To minimize the opportunity for medication-related sentinel events and medication errors. To uphold the patient’s right to receive information and to be involved in decisions about his/her care, treatment and/or services, as appropriate. POLICY: MDT Home Health Care Agency, Inc. shall make available and readily accessible medication management information when needed (except in emergency situations when time does not permit) to any personnel, including contracted personnel, physicians and Licensed Independent Practitioners, involved in the management of MDT Home Health Care Agency, Inc. patients’ medications. This information shall include, but is not limited to: The patient’s age and sex The patient’s height and weight if appropriate to the patient and/or to the medication to be ordered, prepared, dispensed, administered and/or monitored The patient’s diagnoses, comorbidities and currently occurring conditions The patient’s current medications, including prescription, over-the-counter medications and herbal remedies The patient’s allergies and any past sensitivities Any relevant laboratory values Pregnancy and lactation status, if appropriate PROCEDURE: During the initial assessment visit, the Registered Nurse/Therapist generates a list of the patient’s current medications, including prescription and over-the-counter (OTC) medications and herbal remedies. The information is documented in the Agency Medication Administration Record and includes at least the following information: Name of the medication/herbal remedy Date the medication was initially prescribed for the patient Date the OTC and/or herbal remedy was initiated Whether the current dosage is new or changed Classification of the medication or herbal remedy Dosage, route and frequency of administration of the medication and/or herbal remedy Home Health Agency Nursing Manual J-64