7a6075f5-74d9-4cb3-98b0-641023b543ecMEDICATION MANAGEMENT- 2010 MEDICATION MANAGEMENT- 20 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 7a6075f5-74d9-4cb3-98b0-641023b543ec 0 0 0 0 3 2 true 1 100 6735b6f0-395a-43e1-8e79-df7ac1d98f5cMM.01.01.03: The hospital safely manages high-alert and hazardous medications.MM.01.01.03Safely manage haz meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec001132true1100 9b0f8505-e688-4c03-8f04-25177246f993EP3 The hospital implements its process for managing high-alert and hazardous medications. (See also EC.02.02.01, EPs 1 and 8) Implements process meds 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 6735b6f0-395a-43e1-8e79-df7ac1d98f5c 0 0 2 2 3 0 true 1 100 a52acdbb-095a-41f0-83d9-4d4affa7c906MM.02.01.01: The hospital selects and procures medications.MM.02.01.01Selects/procures meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec003132true1100 37066abb-094e-46f3-801f-9ce5dd2c6b3aEP8 The hospital implements the process to select, approve, and procure medications that are not on its formulary. Implem proces to procure 0 7a6075f5-74d9-4cb3-98b0-641023b543ec a52acdbb-095a-41f0-83d9-4d4affa7c906 0 0 4 2 3 0 true 1 100 6060cab5-4c95-4fdc-9451-1361478a4a27EP11 The hospital implements its process to communicate medication shortages and outages to licensed independent practitioners and staff who participate in medication management. Process to communicate 0 7a6075f5-74d9-4cb3-98b0-641023b543ec a52acdbb-095a-41f0-83d9-4d4affa7c906 0 0 5 2 3 0 true 1 100 da615158-4436-4bb4-b26e-372eaf6715e6EP13 The hospital implements its approved medication substitution protocols. Implem substit protocols 0 7a6075f5-74d9-4cb3-98b0-641023b543ec a52acdbb-095a-41f0-83d9-4d4affa7c906 0 0 6 2 3 0 true 1 100 d4df2755-6d13-4200-ae88-9eeea096b918EP15 The hospital implements its process to communicate to licensed independent practitioners and staff who participate in medication management about the medication substitution protocols for shortages and outages. Implem process protocols 0 7a6075f5-74d9-4cb3-98b0-641023b543ec a52acdbb-095a-41f0-83d9-4d4affa7c906 0 0 7 2 3 0 true 1 100 c9082286-03d9-4eb9-b2bb-fb4f17abd9e3MM.03.01.01: The hospital safely stores medicationsMM.03.01.01Hosp safely store meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec008132true1100 7b27e23e-c56b-43dd-93eb-e4988c0a5596EP2 The hospital stores medications according to the manufacturers` recommendations or, in the absence of such recommendations, according to a pharmacists instructions. Store meds recommended 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c9082286-03d9-4eb9-b2bb-fb4f17abd9e3 0 0 9 2 3 0 true 1 100 386998d1-0ea9-4b5f-96d9-6c0614bf4bcfEP5 The hospital implements its policy addressing the control of medication between receipt by an individual health care provider and its administration. Implem policy on control 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c9082286-03d9-4eb9-b2bb-fb4f17abd9e3 0 0 10 2 3 0 true 1 100 f7fba440-5884-4615-998b-3760b7d5a99cEP7 All stored medications and the components used in their preparation are labeled with the contents, expiration date, and any applicable warnings. Stored meds labeled 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c9082286-03d9-4eb9-b2bb-fb4f17abd9e3 0 0 11 2 3 0 true 1 100 99d8c42e-e90a-4184-b9ec-9052d342ed29EP8 The hospital removes all expired, damaged, and/or contaminated medications and stores them separately from medications available for administration. Expired/damaged removed 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c9082286-03d9-4eb9-b2bb-fb4f17abd9e3 0 0 12 2 3 0 true 1 100 8edfb930-e508-4437-a0f7-b4ee4ae9e3baEP10 Medications in patient care areas are available in the most ready-to-administer forms commercially available or, if feasible, in unit-doses that have been repackaged by the pharmacy or a licensed repackager. Ready-to-administer 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c9082286-03d9-4eb9-b2bb-fb4f17abd9e3 0 0 13 2 3 Note: For information on anticoagulants, refer to NPSG.03.05.01. 0 true 1 100 a1235aa7-35ef-456a-9ae5-a05e7730d87dEP18 The hospital periodically inspects all medication storage areas. Inspects med storage area 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c9082286-03d9-4eb9-b2bb-fb4f17abd9e3 0 0 14 2 3 0 true 1 100 54ed34bd-cf4b-4099-96f3-69e6b3365d4eMM.03.01.03: The hospital safely manages emergency medications.MM.03.01.03Manage Emerg meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0015132true1100 58f661fb-e5d4-46ef-a56a-164428b58f38EP3 Whenever possible, emergency medications are available in unit-dose, age-specific, and ready-to-administer forms. Ready-to-administer 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 54ed34bd-cf4b-4099-96f3-69e6b3365d4e 0 0 16 2 3 0 true 1 100 207da4f3-9b54-4458-abb5-995845769503MM.03.01.05: The hospital safely controls medications brought into the hospital by patients, their families, or licensed independent practitioners.MM.03.01.05Safely cont medications07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0017132true1100 73ea8c90-802d-46a4-a041-ea43a77b4349EP2 Before use or administration of a medication brought into the hospital by a patient, his or her family, or a licensed independent practitioner, the hospital identifies the medication and visually evaluates the medications integrity. (See also MM.05.01.07, EP 3; MM.06.01.01, EP 4) Visually evaluates integ 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 207da4f3-9b54-4458-abb5-995845769503 0 0 18 2 3 Note: It can be very difficult, if not impossible, to identify and visually evaluate the integrity of liquid medications, such as eye drops, in an unsealed medication container. In these situations, it is recommended that the medication be discarded or returned to the patient, with the understanding that it will not be administered by staff in the hospital. 0 true 1 100 eafc9485-0d33-4bf6-be26-44fd2b1f9786EP3 The hospital informs the prescriber and patient if the medications brought into the hospital by patients, their families, or licensed independent practitioners are not permitted. Informs if not permitted 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 207da4f3-9b54-4458-abb5-995845769503 0 0 19 2 3 0 true 1 100 93f0f9af-fef1-4a4b-9cd4-8fbd1449b8a1MM.04.01.01: Medication orders are clear and accurate.MM.04.01.01Meds are clear & accurate07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0020132true1100 aa9b814b-d6a0-4803-adca-c48fefddea07EP9 A diagnosis, condition, or indication for use exists for each medication ordered. Dx exists for each order 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 93f0f9af-fef1-4a4b-9cd4-8fbd1449b8a1 0 0 21 2 3 0 true 1 100 d5df6f37-6201-45af-8df9-4c4929f299d1EP13 The hospital implements its policies for medication orders. Policy for med orders 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 93f0f9af-fef1-4a4b-9cd4-8fbd1449b8a1 0 0 22 2 3 0 true 1 100 28e94b8d-3a5b-4809-8895-da0651b3d609MM.05.01.01: A pharmacist reviews the appropriateness of all medication orders for medications to be dispensed in the hospital.MM.05.01.01Pharm reviews for approp07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0023132true1100 73ca02e3-9ea6-44f9-9f7b-af8b6a208a46EP2 When an on-site pharmacy is not open 24 hours a day, 7 days a week, a health care professional determined to be qualified by the hospital reviews the medication order in the pharmacist’s absence. Qualified healthcare pro 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 24 2 3 0 true 1 100 6b1377fa-5090-44e3-b732-2968d7696d1cEP3 When an on-site pharmacy is not open 24 hours a day, 7 days a week, a pharmacist conducts a retrospective review of all medication orders during this period as soon as a pharmacist is available or the pharmacy opens. Phar conduct retro review 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 25 2 3 0 true 1 100 4c01e3f4-0db1-4598-add7-fc99c918232aEP4 All medication orders are reviewed for the following: Patient allergies or potential sensitivities. Reviewed for allergies 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 26 2 3 0 true 1 100 0331532f-bb30-4805-831c-2af6a173b9daEP5 All medication orders are reviewed for the following: Existing or potential interactions between the medication ordered and food and medications the patient is currently taking. Potential interactions 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 27 2 3 0 true 1 100 5c46368c-695d-49f0-8050-c35ff5de643aEP6 All medication orders are reviewed for the following: The appropriateness of the medication, dose, frequency, and route of administration. Approp of dose/freq/route 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 28 2 3 0 true 1 100 9b36e5a8-0891-4510-8b22-fda88e54facfEP7 All medication orders are reviewed for the following: Current or potential impact as indicated by laboratory values. Current/potential impact 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 29 2 3 0 true 1 100 6ed83fcb-19ba-40e6-b282-c6da053c6187EP8 All medication orders are reviewed for the following: Therapeutic duplication Therapeutic duplication 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 30 2 3 0 true 1 100 0265e2d6-4ffa-4b54-bb89-10fe57eb2fffEP9 All medication orders are reviewed for the following: Other contraindications Other contraindications 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 31 2 3 0 true 1 100 dbb75ebd-7166-4dff-b6c3-18f57229226fEP10 All medication orders are reviewed for the following: Variation from the hospital’s approved indications for use. (See also MM.02.01.01, EP 2) Variation from indication 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 32 2 3 0 true 1 100 22a5bf73-c971-4bcc-9df0-07beeb95d8d8EP11 After the medication order has been reviewed, all concerns, issues, or questions are clarified with the individual prescriber before dispensing. Concerns are clarified 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 28e94b8d-3a5b-4809-8895-da0651b3d609 0 0 33 2 3 0 true 1 100 d197f483-a026-456a-aeb4-8894b0b70659MM.05.01.07: The hospital safely prepares medications.MM.05.01.07Safely prepares meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0034132true1100 157cecf0-f9af-466d-b791-270661bfc000EP2 Staff use clean or sterile techniques and maintain clean, uncluttered, and functionally separate areas for product preparation to avoid contamination of medications. Clean/uncluttered/separat 0 7a6075f5-74d9-4cb3-98b0-641023b543ec d197f483-a026-456a-aeb4-8894b0b70659 0 0 35 2 3 0 true 1 100 956bb3e1-40ae-4928-bdc2-2b032281769bMM.05.01.11: The hospital safely dispenses medications. MM.05.01.11Safely dispenses meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0036132true1100 d512c2a5-9f44-425e-8c16-6a91b77eb896EP1 The hospital dispenses quantities of medications that are consistent with patient needs. Dispenses quantities 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 956bb3e1-40ae-4928-bdc2-2b032281769b 0 0 37 2 3 0 true 1 100 768a7e9a-6cf8-4c0c-afd7-3e7e0a4861ebEP2 The hospital dispenses medications and maintains records in accordance with law and regulation, licensure, and professional standards of practice. Dispenses quantities 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 956bb3e1-40ae-4928-bdc2-2b032281769b 0 0 38 2 3 Note: Dispensing practices and record keeping include antidiversion strategies. 0 true 1 100 d24c84ca-cd72-4c6d-826b-af7c78e53b46EP3 The hospital dispenses medications within time frames it defines to meet patient needs. Dispenses w/in time frame 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 956bb3e1-40ae-4928-bdc2-2b032281769b 0 0 39 2 3 0 true 1 100 12759fd6-cedd-4703-9ea4-08c9da83109fEP4 Medications are dispensed in the most ready-to-administer forms commercially available, and, if feasible, in unit doses that have been repackaged by the pharmacy or licensed repackager. Ready-to-administer 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 956bb3e1-40ae-4928-bdc2-2b032281769b 0 0 40 2 3 0 true 1 100 5587ebf4-7de3-4e2d-9783-37c6b71d37c9MM.05.01.13: The hospital safely obtains medications when the pharmacy is closed.MM.05.01.13Obtains meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0041132true1100 d6082a6b-9408-4c3f-89c3-659e1d881cb9EP2 When non-pharmacist health care professionals are allowed by law or regulation to obtain medications after the pharmacy is closed, the following occurs: Medications available are limited to those approved by the hospital. Medications limited 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 5587ebf4-7de3-4e2d-9783-37c6b71d37c9 0 0 42 2 3 0 true 1 100 72724e7e-d60f-43b6-9c61-98faf8e9efe2EP3 When non-pharmacist health care professionals are allowed by law or regulation to obtain medications after the pharmacy is closed, the following occurs: The hospital stores and secures the medications approved for use outside of the pharmacy. Stores & secures meds 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 5587ebf4-7de3-4e2d-9783-37c6b71d37c9 0 0 43 2 3 0 true 1 100 3edf4faa-d516-41d3-a426-ca262ad3397bEP4 When non-pharmacist health care professionals are allowed by law or regulation to obtain medications after the pharmacy is closed, the following occurs: Only trained, designated prescribers and nurses are permitted access to approved medications. Trained, designated presc 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 5587ebf4-7de3-4e2d-9783-37c6b71d37c9 0 0 44 2 3 0 true 1 100 a020c704-c8e2-4a3d-b41f-60f009d49c2cEP5 When non-pharmacist health care professionals are allowed by law or regulation to obtain medications after the pharmacy is closed, the following occurs: Quality control procedures (such as an independent second check by another individual or a secondary verification built into the system such as bar coding) are in place to prevent medication retrieval errors. Quality control procedure 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 5587ebf4-7de3-4e2d-9783-37c6b71d37c9 0 0 45 2 3 0 true 1 100 6b8ac4dc-c6a2-47de-83c8-3f7575f52695EP6 When non-pharmacist health care professionals are allowed by law or regulation to obtain medications after the pharmacy is closed, the following occurs: The hospital arranges for a qualified pharmacist to be available either on-call or at another location (for example, at another organization that has 24-hour pharmacy service) to answer questions or provide medications beyond those accessible to non-pharmacy staff. Pharmacist on call 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 5587ebf4-7de3-4e2d-9783-37c6b71d37c9 0 0 46 2 3 0 true 1 100 2357e7e5-17bc-442a-bd42-cd35044de87dEP7 The hospital implements its process for providing medications to meet patient needs when the pharmacy is closed. Implements its process 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 5587ebf4-7de3-4e2d-9783-37c6b71d37c9 0 0 47 2 3 0 true 1 100 92582776-2855-4e0b-99bd-2b1027ff5275MM.05.01.17: The hospital follows a process to retrieve recalled or discontinued medications.MM.05.01.17Retrieves recalled meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0048132true1100 31e64619-9e76-4b79-9ea7-f07ee5597e07EP2 The hospital implements its policy on retrieving and handling medications when they are recalled or discontinued for safety reasons. (See also EC.02.01.01, EP 11) Implements policy 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 92582776-2855-4e0b-99bd-2b1027ff5275 0 0 49 2 3 0 true 1 100 fa34676e-2188-4a41-9479-105750bd781fEP3 When a medication is recalled or discontinued for safety reasons by the manufacturer or the Food and Drug Administration, the hospital notifies the prescribers and those who dispense or administer the medication. (See also EC.02.01.01, EP 11) Notifies the prescribers 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 92582776-2855-4e0b-99bd-2b1027ff5275 0 0 50 2 3 0 true 1 100 1ac8103a-a71e-4704-90ca-f20ab3551028EP4 When required by law and regulation or hospital policy, the hospital informs patients that their medication has been recalled or discontinued for safety reasons by the manufacturer or the Food and Drug Administration. (See also EC.02.01.01, EP 11) Hospital informs patients 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 92582776-2855-4e0b-99bd-2b1027ff5275 0 0 51 2 3 0 true 1 100 bbe3a5f6-9d07-4b12-b7b2-1424c137a820MM.05.01.19: The hospital safely manages returned medications.MM.05.01.19Safely manages meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0052132true1100 265b6dcd-a7b7-46df-82b1-6932faf05e27EP4 The hospital implements its process for managing unused, expired, or returned medications. Implements its process 0 7a6075f5-74d9-4cb3-98b0-641023b543ec bbe3a5f6-9d07-4b12-b7b2-1424c137a820 0 0 53 2 3 0 true 1 100 c39abdaa-a31d-492b-8ea3-f441da15d694MM.06.01.01: The hospital safely administers medications. MM.06.01.01Safely administers meds07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0054132true1100 05fe4c91-dc52-4428-a1fa-447dae6bb90eEP3 Before administration, the individual administering the medication does the following: Verifies that the medication selected matches the medication order and product label. Verifies meds matches 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c39abdaa-a31d-492b-8ea3-f441da15d694 0 0 55 2 3 0 true 1 100 fb5dae5b-f062-49bb-a71d-085181a62386EP4 Before administration, the individual administering the medication does the following: Visually inspects the medication for particulates, discoloration, or other loss of integrity. (See also MM.03.01.05, EP 2; MM.05.01.07, EP 3) Visually inspects meds 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c39abdaa-a31d-492b-8ea3-f441da15d694 0 0 56 2 3 0 true 1 100 e8f460c2-58a1-407a-bc7b-9cdcda20d0c3EP5 Before administration, the individual administering the medication does the following: Verifies the medication has not expired. Visually meds not expired 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c39abdaa-a31d-492b-8ea3-f441da15d694 0 0 57 2 3 0 true 1 100 f1e23e4e-fdc8-4617-9c3c-0915ad30afbdEP6 Before administration, the individual administering the medication does the following: Verifies no contraindications exist. Verifies no contraind 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c39abdaa-a31d-492b-8ea3-f441da15d694 0 0 58 2 3 0 true 1 100 de1d6ec2-2f50-4b3a-b269-5c3659df6148EP7 Before administration, the individual administering the medication does the following: Verifies the medication is being administered at the proper time, in the prescribed dose, and by the correct route. Proper time/dose/route 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c39abdaa-a31d-492b-8ea3-f441da15d694 0 0 59 2 3 0 true 1 100 3d1942e4-72d7-45ef-b587-f6932cd0de2fEP8 Before administration, the individual administering the medication does the following: Discusses any unresolved concerns about the medication with the patient’s licensed independent practitioner, prescriber (if different from the licensed independent practitioner), and/or staff involved with the patient`s care, treatment, and services. Discusses concerns 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c39abdaa-a31d-492b-8ea3-f441da15d694 0 0 60 2 3 0 true 1 100 009a3737-eb61-41c8-b9b3-eb657d7dd44aEP9 Before administering a new medication, the patient or family is informed about any potential clinically significant adverse drug reactions or other concerns regarding administration of a new medication. (See also MM.06.01.03, EPs 3-6; PC.02.03.01, EP 10) Pt & family informed 0 7a6075f5-74d9-4cb3-98b0-641023b543ec c39abdaa-a31d-492b-8ea3-f441da15d694 0 0 61 2 3 0 true 1 100 4bd1b97a-674c-4e80-946e-2dc6819125f6MM.06.01.03: Self-administered medications are administered safely and accurately.MM.06.01.03Self-administered safely07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec006213Note: The term self-administered medication(s) may refer to medications administered by a family member. 2true1100 adfe8d1b-0fb0-4e5a-9fe5-954ec010c00aEP2 The hospital implements its written processes for medication self-administration or medication administration by non–staff members. Implem written process 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 4bd1b97a-674c-4e80-946e-2dc6819125f6 0 0 63 2 3 0 true 1 100 d78c125b-aee5-4e07-97f5-3b4dc7d9f3c7EP3 The hospital educates patients and families involved in self-administration about the following: Medication name, type, and reason for use. (See also MM.06.01.01, EP 9; PC.02.03.01, EP 10) Educates Pt & family 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 4bd1b97a-674c-4e80-946e-2dc6819125f6 0 0 64 2 3 0 true 1 100 50897140-1464-46fe-87e4-efbce0b49618EP4 The hospital educates patients and families involved in self-administration about the following: How to administer medication, including process, time, frequency, route, and dose. (See also MM.06.01.01, EP 9; PC.02.03.01, EP 10) Educate/time/freq/route 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 4bd1b97a-674c-4e80-946e-2dc6819125f6 0 0 65 2 3 0 true 1 100 71da65e4-257a-4130-af52-ba99249b1423EP5 The hospital educates patients and families involved in self-administration about the following: Anticipated actions and potential side effects of the medication administered. (See also MM.06.01.01, EP 9; PC.02.03.01, EP 10) Anticipated side effects 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 4bd1b97a-674c-4e80-946e-2dc6819125f6 0 0 66 2 3 0 true 1 100 63ea73d7-ebe2-41ca-b602-f0224c7cc411EP6 The hospital educates patients and families involved in self-administration about the following: Monitoring the effects of the medication. (See also MM.06.01.01, EP 9; PC.02.03.01, EP 10) Monitoring the effects 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 4bd1b97a-674c-4e80-946e-2dc6819125f6 0 0 67 2 3 0 true 1 100 3956bd79-4784-4535-a637-1332900a88f7EP7 The hospital determines that the patient or the non-staff member who administers the medication is competent at medication administration before being allowed to administer medications. Administer is competent 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 4bd1b97a-674c-4e80-946e-2dc6819125f6 0 0 68 2 3 0 true 1 100 2c2eac43-edf4-4cdd-969a-b7606cd22c15MM.06.01.05: The hospital safely manages investigational medications. MM.06.01.05Investigational med07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0069132true1100 01d44c69-282c-46fc-a264-b5891dc7bbc9EP4 The hospital implements its processes for the use of investigational medications. Implements its processes 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 2c2eac43-edf4-4cdd-969a-b7606cd22c15 0 0 70 2 3 0 true 1 100 72adb694-054e-4feb-9b8a-d042635dd586MM.07.01.01: The hospital monitors patients to determine the effects of their medication(s).MM.07.01.01Monitors patients07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0071132true1100 b9a0a439-1274-4bac-abb9-9b08ed9c6eecEP1 The hospital monitors the patient’s perception of side effects and the effectiveness of his or her medication(s). Monitors pt side effects 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 72adb694-054e-4feb-9b8a-d042635dd586 0 0 72 2 3 0 true 1 100 626e9e3f-4ab3-4a89-88e9-c1a394550801EP2 The hospital monitors the patient`s response to medication(s) by taking into account clinical information from the medical record, relevant lab values, clinical response, and medication profile. (See also MM.02.01.01, EP 3) Monitors pt response 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 72adb694-054e-4feb-9b8a-d042635dd586 0 0 73 2 3 Note: Monitoring the patient’s response to medications is an important assessment activity for nurses, physicians and pharmacists. In particular, monitoring the patient’s response to the first dose to a new medication is essential to the safety of the patient since any adverse reactions, including serious ones, are more unpredictable if the drug has never been used before with the patient. 0 true 1 100 3b023690-8662-40ca-9dac-fee44449bf9fMM.07.01.03: The hospital responds to actual or potential adverse drug events, significant adverse drug reactions, and medication errors.MM.07.01.03Potential drug reactions07a6075f5-74d9-4cb3-98b0-641023b543ec7a6075f5-74d9-4cb3-98b0-641023b543ec0074132true1100 2f8bae0c-44cb-4621-b43c-666b2673018aEP3 The hospital complies with internal and external reporting requirements for actual or potential adverse drug events, significant adverse drug reactions, and medication errors. Internal/external report 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 3b023690-8662-40ca-9dac-fee44449bf9f 0 0 75 2 3 0 true 1 100 29efa3a8-c762-4ed9-a593-8e0077930892EP5 The hospital implements its process for responding to adverse drug events, significant adverse drug reactions, and medication errors. Implements its process 0 7a6075f5-74d9-4cb3-98b0-641023b543ec 3b023690-8662-40ca-9dac-fee44449bf9f 0 0 76 2 3 0 true 1 100