(A) Each hospice care program shall arrange for provision of medical supplies, appliances, drugs, and biologicals to hospice patients as needed for the palliation and management of the patient's terminal illness and related conditions. The program shall ensure that drugs and biologicals are available at all times.
(B) Each hospice care program shall ensure that drugs and biologicals are administered only by the following individuals:
(1) A registered nurse, a licensed practical nurse, or a physician;
(2) A patient or a family member if approved by the attending physician; or
(3) Any other individual authorized by the Revised Code to perform this task.
The individuals authorized to administer drugs or biologicals under paragraphs (B)(2) and (B)(3) of this rule and the drugs or biologicals they are authorized to administer shall be specified in the patient's plan of care.
(C) Each hospice care program shall have a policy for disposing of controlled drugs maintained in the patient's home when those drugs no longer are needed by the patient.
Interpretive guideline: The policy for disposing of controlled drugs shall be in writing. Drugs no longer may be needed by the patient because they have been discontinued by the physician or because they remain at the time of death. The program's policy may vary depending upon the patient and the home environment but shall account for the fact that the drugs legally have been dispensed to the patient and remain under his or her legal control.
(D) Each hospice care program shall ensure that the patient, patient's representative, and the patient's family receive a copy of the hospice care program's written policies and procedures along with education on the management and disposal of controlled drugs when a controlled substance is ordered, and document such actions in the patient's clinical record.
R.C. 119.032 review dates: 05/19/2009 and 08/15/2014
Promulgated Under: 119.03
Statutory Authority: 3712.03
Rule Amplifies: 3712.01, 3712.03, 3712.06
Prior Effective Dates: 12/31/1990