Medications

How HFRD classifies it

HFRD prints a scope-and-severity letter beside each citation, on the grid the federal nursing home survey uses: A to C is a deficiency with no actual harm and the potential for minimal harm, D to F no actual harm with the potential for more than minimal harm, G to I actual harm that is not immediate jeopardy, and J to L immediate jeopardy; within each band the letter rises from isolated to pattern to widespread. D is by far the most common.

Where it is cited

What the requirement says

HFRD’s requirement text as it appears on the inspection report, verbatim.

111-8-62-.20(3) Basic Medication Training for Staff Assisting with Self-Administration. The home must provide and document medication training for the unlicensed staff that are providing assistance with or supervision of self-administration of medications to capable residents. The medication training must be conducted with an appropriate curriculum for providing medication assistance and include at least the following topics: (a) The home's medication policy and procedures, including actions to take if concerns regarding resident's capacity to self-administer medications are identified. (b) How to read prescription labels including common abbreviations. (c) Providing the right medication to the right resident at the right time in the right amount and the right way including how to measure various medications. (d) Actions to take when concerns regarding medications are identified. (e) Infection control procedures relative to providing assistance with medications. (f) Proper medication storage and disposal. (g) Recognition of side effects and adverse reactions for the specific medications. (h) Understanding the common classifications of medications, typical side effects and adverse reactions and medications for which unlicensed staff may never provide assistance with or supervision of self administration. (i) Proper documentation and record keeping using the Medication Assistance Record.