10.07.22.13

.13 Medication Management and Administration.

A. All medications shall be administered consistent with applicable requirements of COMAR 10.27.11.

B. Medications and treatments shall be administered consistent with current medical orders and using acceptable professional standards of practice.

C. All medications shall be stored in a secure location, at proper temperature.

D. Each patientís medications shall be stored in the original dispensed container;

E. Each patient shall receive the medications that have been specifically prescribed for that patient in the manner that has been ordered.

F. The hospice house staff shall document and report to the patientís primary hospice nurse or the hospice nurse on call any symptoms or pain that are not relieved by the current medications and other interventions.

G. The hospice house staff shall document and report to the patientís primary hospice nurse or the hospice nurse on call any undesired side effects, adverse drug reactions, or medication errors.

H. The medication administration documentation required under this regulation shall be recorded by a staff member at the time that the patient takes or receives medications on a medication administration report. This documentation shall be maintained in the patient record and include at minimum:

(1) Name of the patient;

(2) Date of birth;

(3) Diagnosis;

(4) Allergies;

(5) Significant adverse drug reactions;

(6) Name of the medication;

(7) Reason for the medication;

(8) Dose;

(9) Authorized prescriberís name;

(10) Date of issuance, and

(11) Directions for use.

I. Accounting for Narcotic and Controlled Drugs.

(1) The hospice house staff shall count and record controlled drugs at shift changes.

(2) All controlled substances and all medications with a high abuse potential in the hospice houseís location shall be maintained under a double lock system.