§ 21.76. Personal care responsibilities.

 (a)  The provider shall help the client in developing or maintaining self-help skills, personal hygiene skills and other skills relating to activities of daily living in accordance with the care plan established under §  21.54 (relating to AAA care plan responsibilities).

 (b)  If necessary, the provider shall assist with the administration of medication prescribed for self-administration, and will do so in accordance with the care plan established under §  21.54.

 (c)  When the provider assists clients with the administration of medication, the following standards apply:

   (1)  The provider shall take reasonable precaution to assure that drugs are stored and maintained in a safe and secure manner to protect against contamination, spillage, misidentification and pilferage. In establishing a means for safe storage with the client, the provider shall consider the status of the client and others living in the home, the degree to which the client needs immediate access to the drug and the potential harm if the drug should be misused.

   (2)  The provider may assist with medications by helping the client to remember the client’s schedule in accordance with the prescription, storing the medication in a secure place and offering the client the medication at the prescribed times.

   (3)  Only currently prescribed medication of a client living in the home may be stored in the home.

   (4)  Medication, prescription and nonprescription and topical preparations, except as specified in paragraph (5), shall be stored in locked areas.

   (5)  Medication may be stored in a client’s room for self-administration upon written instructions of a licensed physician.

   (6)  Medication prescribed for one client may not be provided to another client.

   (7)  Medication assistance errors and drug reactions shall be reported immediately to the physician who ordered the medication.

   (8)  Medication shall be kept in its original prescription container.

   (9)  When the client permanently leaves the home, the client’s medications are to be given to the client, the family or the client’s designate.

   (10)  When medication is discontinued, becomes outdated or was prescribed for a client who died before taking all of the prescribed medications, the remaining medications shall be destroyed.

Cross References

   This section cited in 6 Pa. Code §  21.52 (relating to AAA service responsibilities); 6 Pa. Code §  21.55 (relating to AAA placement activities); and 6 Pa. Code §  21.81 (relating to provider financial accountability).



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