Do HHAs have to instruct on drug interactions or is it the pharmacy or physician’s responsibility?
If the patient’s plan of care contains orders for the nurse to provide instruction on medication interactions, then the surveyor will seek to verify that that plan of care is being followed. The physician and pharmacist must follow their own licensure requirements concerning what they are required to recognize or teach related to drug interactions. Regulations for certified home health agencies require the qualified clinician (RN or therapist) to include a review of all medications used during the comprehensive assessment of all patients served by the agency in the L&C category. The drug regimen review must be conducted to identify any potential adverse effects and drug reactions, including significant drug interactions. If the clinician determines the patient is experiencing problems with medications or identifies any potential adverse effects and/or reactions, the physician must be alerted. Regulations and Statutes: 40 TAC §97.243(c)(2)(A)(iii); 42 CFR §484.
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