2.C.1.a-g.
An up-to-date individual record of all medications, including prescription and nonprescription medications, used by the person served includes:
- The name of the medication
- The dosage, including strength or concentration
- The frequency
- Instructions for use, including administration route
- Potential side effects
- Drug interactions
- For prescribed medications:
- The prescribing professional and phone number
- Dispensing pharmacy and contact information
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2.C.2.a-g.
The organization implements written procedures that address:
- Storage, including handling of medications requiring refrigeration or protection from light
- Safe handling
- Packaging and labeling
- Safe disposal
- Maintenance of an adequate supply of medications for the persons served
- Documentation of medication use
- Self-administration, when applicable
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2.C.3.a-b.
As requested, the persons served or their parents or guardians are provided with or given information about resources for:
- Advocacy and advocacy training to assist them in being actively involved in making decisions related to the use of medications
- Training and education regarding medications
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2.C.4.
The organization documents that the use of all medications by the person served is reviewed at least annually by a single physician or qualified professional licensed to prescribe or dispense medications.
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2.C.5.a-d.
An organization that manages medications for persons served implements written procedures that address:
- Purchase, if applicable, including processes for handling medication shortages on weekends
- Transportation and delivery, if applicable
- Off-site use, if applicable
- Administration of medications by personnel, including:
- Staff credentials and competencies
- Documentation of medication administration
- Documentation of the use and benefits, or lack thereof, of as needed (prn) doses
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2.C.6.a-h.
An organization that manages medications for persons served implements written procedures regarding medications that provide for:
- Compliance with all applicable laws and regulations pertaining to medications and controlled substances
- Documentation or confirmation of informed consent for each medication administered, when possible
- Integrating any prescribed medications into a person’s overall plan, including, if applicable, special dietary needs and restrictions associated with medication use
- Identification, documentation, and required reporting, including to the prescribing professional:
- Of any medication reactions experienced by the person served
- Of medication errors, as appropriate
- Review of medication errors and drug reactions as part of the quality monitoring and improvement system
- Actions to follow in case of emergencies related to the use of medications, including ready access to the telephone number of a poison control center by:
- The program personnel
- The persons served, as appropriate
- Availability of medical resources for consultation during hours of program operation
- Coordination as needed with the physician primary care needs
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