1. Information regarding all prescribed medications will be documented in
the client case record on the Consent to Medication Form. This information will
include the prescribing doctor's name, name of the medication, dosage,
frequency, purpose for prescription, common risks, common benefits, possible
alternative treatment(s), and administration instructions. This document must
be signed by the client if over 14 years of age and the legal guardian prior to
the administration of medications. This includes prescribed medications that
the client brings with them to the foster home. If the guardian is not
available to sign the consent to medication form, a verbal consent to
administer prescribed medication is acceptable for up to 24 hrs.
2. When a client is prescribed a medication, when a current medication
changes dosage or frequency, or when a medication is discontinued, the Case
Coordinator or their designee must record this on the Medication Tracking Log.
3. Administration of medication will be documented on the Foster/Respite
Parent Weekly Report forms.
4. Prescribed medications will be securely stored in their original
containers and labeled with the client's name, date, medication name,
administering instructions, expiration date, and physician's name.
5. All employees and contractees are responsible
for knowing the common risks and benefits, and for documenting observed side
effects and/or benefits of the medication being administered to the clients
they serve on the appropriate form.
6. Employees and/or contractees will report
observed or stated drug reactions, medication errors,� other concerns, and/or questions to
the prescribing physician and their supervisor or to the emergency pager.
Medication errors include omission and commission errors. Employees and/or contractees will complete a Critical Incident Report Form
for all such situations.
7. Once received, a prescription is in effect until a stop order to
discontinue medication is issued or the medication expires. Three consecutive
refusals to take a prescribed medication by a child that is
14 years of age or older is considered revoked consent. If this occurs, the
employee and/or contractee will complete the Critical
Incident Report Form, notify the guardian, prescribing
doctor, and the TCS or emergency pager if after regular business hours.
8. When transporting medication, each medication label must include the
client's name, name and dosage of medication, name of prescribing doctor, and
expiration date. When a client and medication are being transported in the same
vehicle, the client�s medication must be stored in a locked container, which is
then locked in the vehicle�s glove compartment or trunk.
9. A record of all appointments for review of medications, unscheduled
medication reviews, or cancelled medications reviews will be recorded on the
Medical, Dental, Eye Exam Log and maintained in the
case record by the Case Coordinator or designee.
10. Disposal of medications will be in accordance with Community Care's
procedure for disposing of prescribed medications.
11. Client complaints regarding the availability or accessibility of the
prescribing doctor will be documented on the appropriate grievance form.
Submitted grievance forms will follow Community Care's grievance policy and
procedure.