Residential Psych Treatment - Med Administration

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Hi Everyone, JCAHO is coming soon :uhoh3: to the residential treatment facility for children and adolescents with mental illness where I work. Currently, our nurses pull meds for all the clients (about 20) BEFORE the kids line up to receive them. We put all the pills in little paper cups so when the kid gets to the med window, we can just hand it to them with a cup of water and in 2 minutes they're done. The cup is labeled with the kid's name, but NOT which meds are supposed to be in it. Will JCAHO nail us with this? Should we be popping the meds out of the bubble pack when the kid comes to the window?

Also, when med orders change (making the pharmacy sticker on the bubble pack incorrect/not current), is it legal to cross out the wrong orders and write the new orders? Our pharmacist is saying that it's legal, and I beg to differ. :uhoh21:

Hi Melissa,

besides that mentioned "waiver",

here's where you can access the entire Manual: http://www.jcrinc.com/subscribers/perspectives.asp?durki=6060&site=10&return=2815

including getting your questions answered re Meds, & Infection-control.

Also, in case the center's Administrative-folk will not render you Aid, they should be willing to have you consult with some "external"-assistance like at: http://barrins-assoc.com/

They provide "Mock Surveys, Survey Preparation and Continuous Survey Readiness for the Behavioral Healthcare Industry".

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