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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 22. Social Services |
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Agency 40. Department of Social Services |
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Chapter 72. Standards for Licensed Assisted Living Facilities |
Section 680. Medication review
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A. For each resident assessed for residential living care, except for those who self-administer all of their medications, a licensed health care professional, acting within the scope of the requirements of his profession, shall perform an annual review of all the medications of the resident.
B. For each resident assessed for assisted living care, a licensed health care professional, acting within the scope of the requirements of his profession, shall perform a review every six months of all the medications of the resident.
C. The medication review shall include prescription drugs, over-the-counter medications and dietary supplements ordered for the resident.
D. If deemed appropriate by the licensed health care professional, the review shall include observation of or interview with the resident.
E. The review shall include, but not be limited to, the following:
1. All medications that the resident is taking and medications that he could be taking if needed (PRNs).
2. An examination of the dosage, strength, route, how often, prescribed duration, and when the medication is taken.
3. Documentation of actual and consideration of potential interactions of drugs with one another.
4. Documentation of actual and consideration of potential interactions of drugs with foods or drinks.
5. Documentation of actual and consideration of potential negative affects of drugs resulting from a resident's medical condition other than the one the drug is treating.
6. Consideration of whether PRNs, if any, are still needed and if clarification regarding use is necessary.
7. Consideration of whether the resident needs additional monitoring or testing.
8. Documentation of actual and consideration of potential adverse effects or unwanted side effects of specific medications.
9. Identification of that which may be questionable, such as (i) similar medications being taken, (ii) different medications being used to treat the same condition, (iii) what seems an excessive number of medications, and (iv) what seems an exceptionally high drug dosage.
F. Any concerns or problems or potential problems shall be reported to the resident's attending physician and to the facility administrator.
G. The results of the review shall be documented, signed and dated by the health care professional, and retained in the resident's record. The health care professional shall also document any reports made as required in subsection F of this section. Action taken in response to the report shall also be documented. The documentation required by this subsection shall be retained in the resident's record.
Historical Notes
Derived from Volume 23, Issue 06, eff. December 28, 2006.