On Monday we held our our 2010 Assisted Living Medication Summit, and one of the most common questions from California-based attendees was regarding hospice medications. More specifically, who may administer medications to a resident on hospice. Here is an answer to this from a recent CCL clarification:
QUESTION: “What is the update on administration of medications for hospice care residents?”
ANSWER: “…A relative or friend NOT receiving monetary or any other form of compensation for their services, and who is trained by the hospice agency may administer medications through a route, (e.g. oral, sublingual, subcutaneous, etc.) to his/her relative or friend in a residential care facility for the elderly provided it is specified in the hospice care plan; the hospice agency provides a statement for the licensee’s records that the relative or friend has been trained; and there is a plan in place to ensure that the resident can receive the needed medication by a licensed health professional if the relative or friend fails to arrive at the appointed time. Licensees must maintain documentation on procedures and on the training activities.”
QUESTION: “Can a medical technician administer medications to a hospice care resident?”
Your trained direct care staff may assist a resident with self-administration, and CCL has clarified in the past that assisting with self-administration may include the use of hand-on-hand assistance.