In addition to all previous criteria listed, when delegating
the administration of oral unit dose medications from the client's
daily pill reminder container, the RN must:
(1) ensure that the unit dose medication(s) are placed
in the client's daily pill reminder container, from properly dispensed
prescription bottle(s), by the RN or a person mutually agreed upon
by the RN and client or client's responsible adult who has demonstrated
the ability to complete the task properly;
(2) instruct the client or client's responsible adult
and the unlicensed person involved in such delegation activity about
each medication placed in such a container with regard to distinguishing
characteristics of each medication, proper time, dose, route and adverse
effects which may be associated with the medication;
(3) provide to the client, client's responsible adult
if applicable, and the unlicensed person(s) instructions to contact
the RN before the medication is administered when there are questions
concerning the medications or changes in the client's status related
to the medication being given. An example is when the medications
appear to be rearranged or missing.
(4) make supervisory visits in the event there are
changes in the client's status related to the medication being given
and determine the frequency of supervisory visits in consultation
with the client or the client's responsible adult to assure that safe
and effective services are being provided; and
(5) ensure the client or client's responsible adult
acknowledges in writing that the administration of medication(s) under
this section will be delegated to an unlicensed person.
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