| (1) All drugs, biologicals, and legend medical devices must
be obtained for each client pursuant to a physician's prescription in accordance
with applicable rules of the Texas Board of Pharmacy.
(2) In conjunction with the client's attending physician, the
agency must ensure that there are sufficient supplies maintained in the client's
home to perform the scheduled dialysis treatments and to provide a reasonable
number of backup items for replacements, if needed, due to breakage, contamination,
or defective products. All dialysis supplies, including medications, must
be delivered directly to the client's home by a vendor of such products. However,
agency personnel may transport prescription items from a vendor's place of
business to the client's home for the client's convenience, so long as the
item is properly labeled with the client's name and direction for use. Agency
personnel may transport medical devices for reuse.
(z) Emergency procedures. The agency must adopt and enforce
policies and procedures for emergencies addressing fire, natural disaster,
and medical emergencies.
(1) Procedures must be individualized for each client to include
the appropriate evacuation from the home and emergency telephone numbers.
Emergency telephone numbers must be posted at each client's home and must
include 911 if available, the number of the physician, the ambulance, the
qualified registered nurse on call for home dialysis, and any other phone
number deemed as an emergency number.
(2) The agency must ensure that the client and the client's
family know the agency's procedures for emergencies.
(3) The agency must ensure that the client and the client's
family know the procedure for disconnecting the dialysis equipment.
(4) The agency must ensure that the client and the client's
family know emergency call procedures.
(5) A working telephone must be available during the dialysis
procedure.
(6) Depending on the kinds of medications administered, an
agency must have available emergency drugs as specified by the medical director.
(7) In the event of a medical emergency requiring transport
to a hospital for care, the agency must assure the following:
(A) the receiving hospital is given advance notice of the client's
arrival;
(B) the receiving hospital is given a description of the client's
health status; and
(C) the selection of personnel, vehicle, and equipment are
appropriate to effect a safe transfer.
|
