Page 456 - CHHA Binder 2.3.20

4/11/2019

Key Points

 The nurse may pre-pour medications for a patient with
physical or cognitive impairments to assist
patient/family/ caregiver with medication management

 Pre-pouring a medication requires a physician’s order
 Pre-pouring medications is not a skill reimbursable by
Medicare

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Key Points

 The nurse must document interventions attempted with
the patient/family to ensure patient's safe self-medication
(e.g., use of written reminders, telephone reminders, etc.)
should be reflected in the patient record):
• Patient/family/caregiver unable, unwilling, or unavailable to assist
the patient in taking medications or pre-pouring medications must
be documented
• Prior to initiating medication pre-pour, the nurse must determine
that pre-poured medications can be safely stored in the home
• Patient's physical or cognitive impairments must be clearly
documented in the patient record either in the initial assessment or
subsequent progress note(s).

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