Adverse Consequences and Medication-Related Problems
|Adverse Consequences and Medication-Related Problems H5MAPL0051 |
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|Highlights |Policy Statement |
| |The facility evaluates medication usage in order to prevent and detect adverse consequences and medication-related |
| |problems such as adverse drug reactions (ADRs) and side effects. |
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| |Adverse consequences shall be reported to the Attending Physician and Pharmacist, and to federal agencies as |
| |appropriate. |
| |Policy Interpretation and Implementation |
|Monitoring for Adverse Consequences|Residents receiving any medication that has a potential for an adverse consequence will be monitored to ensure that|
| |any such consequences are promptly identified and reported. |
| |An “adverse consequence” is defined as an unpleasant symptom or event that is due to or associated with a |
|Definition of an Adverse |medication, such as an impairment or decline in an individual’s mental or physical condition or functional or |
|Consequence |psychosocial status. An adverse consequence may include: |
| |Adverse drug/medication reaction; |
| |Side effect; |
| |Medication-medication interaction; or |
| |Medication-food interaction |
| | |
| |An “adverse drug reaction” (ADR), a form of adverse consequences, is defined as a secondary and usually undesirable|
| |effect of a drug and is different from the therapeutic and helpful effects of the drug. An ADR is any noxious and |
| |unintended response to a drug and occurs in doses for prophylaxis, diagnosis or therapy. |
|Definition of an Adverse Drug |The staff and practitioner shall strive to minimize adverse consequences by: |
|Reaction |Following relevant clinical guidelines and manufacturer’s specifications for use, dose, administration, duration, |
| |and monitoring of the medication; |
| |Defining appropriate indications for use; and |
| |Determining that the resident: |
|Minimizing Adverse Consequences | |
| |Has no known allergies to a medication; |
| |Is not taking other medications, nutritional supplements including herbal products, or foods that would be |
| |incompatible with the prescribed medication; and |
| |Has no condition, history, or sensitivities that would preclude use of that medication. |
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| |The staff shall report clinically significant adverse medication consequences and medication errors with adverse |
| |clinical consequences to the resident’s Attending Physician immediately. |
| |In the event of a clinically significant adverse medication consequence, nursing staff shall implement and follow |
| |any related Physician orders, and shall monitor closely and document the resident’s condition and response to any |
| |corrective interventions for at least the next 24 hours or as otherwise directed. |
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|Reporting Adverse Drug Reactions |continues on next page |
| |Nursing staff will document appropriately detailed accounts of any incidents on an appropriate report form. |
| |The Medical Director, Director of Nursing Services, and Consultant Pharmacist shall review medication errors and |
|Follow-Up and Monitoring by Nursing|adverse medication consequences as part of the facility’s Quality Assurance process. |
|Staff |As necessary, the Charge Nurse may also contact the Consultant Pharmacist for help in determining whether adverse |
| |consequences might be present. |
| |The Pharmacist is responsible for reviewing the resident’s medication regimen monthly to help identify and report |
| |irregularities associated with the use of medications. |
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|Documenting and Reporting | |
|Quality Assurance | |
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|Notifying Consultant Pharmacist | |
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|Drug Regimen Reviews | |
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|References |
|OBRA Regulatory |483.25(l); 483.25(m); 483.60(c)(1)(2) |
|Reference Numbers | |
|Survey Tag Numbers |F329; F332; F333; F428 |
|Related Documents | |
|Policy |Date:________________ By:__________________ |
|Revised |Date:________________ By:__________________ |
| |Date:________________ By:__________________ |
| |Date:________________ By:__________________ |
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