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Private Organization Accreditation

As one of the largest family services agencies in the country, Child & Family Services has dedicated its resources to meet the needs of the community since 1873.
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ORGANIZATION TESTIMONIAL

Brewer-Porch Children's Center

James W. Thompson, Executive Director

The COA standards as applied to the operations at Brewer-Porch Children’s Center at The University of Alabama has given the administration an opportunity to examine best practice and improve the quality of care provided to clients.
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Purpose

Comprehensive, systematic, and effective risk prevention and management practices reduce the agency’s risk, loss, and liability exposure.

FOC
PA-RPM 3: Medication Control and Administration

The agency ensures safe, uniform medication control and administration.

Note: Please see the Medication Control and Administration Policy and Procedure Tool - Private, Public, Canadian, Network for additional assistance with this standard.

Note: PA-RPM 3 does not apply to foster care and kinship care homes. See PA-FKC 16.03.

NA The agency does not prescribe, dispense, administer, or store medication.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    County Administered Agency or State Administered Agency (Central Office)
    • Medication management policy and procedures
    • Agency plan for psychotropic medication monitoring for children in foster care, if applicable 
    State Administered Agency (Regional Office)
    • Facility-specific medication procedures/protocols
    All Agencies
    • Medication logs
    • Documentation of medication management training provided to personnel
    All Agencies
    • Interview:
      1. Direct service and supervisory personnel
      2. Medical personnel, as applicable
    • Facility observation

  • FP
    PA-RPM 3.01

    Personnel directly involved in medication control and administration receive training and demonstrate competence in medication control and administration, and knowledge of applicable legal requirements.

    Interpretation: Personnel who have not completed training must work under the supervision of qualified staff.


  • FP
    PA-RPM 3.02

    When medication is initially prescribed, the agency or the prescribing physician:

    1. obtains the written, informed consent of the service recipient, and/or a legal guardian:
    2. fully explains the benefits, risks, and alternatives.

    Interpretation: The agency obtains consent for over-the-counter medication, either at the initiation of service or upon administration of the medication.

    Interpretation: Agencies have a responsibility to ensure that individuals (including children) and their families fully understand the benefits, risks, and alternatives of medication regardless of whether they prescribe or administer them.


  • FP
    PA-RPM 3.03

    When individuals are receiving prescription medication, administration of over-the-counter medications should be done in consultation with a qualified medical professional to identify possible adverse interaction of medications.

    NA The agency does not prescribe or administer medication.


  • FP
    PA-RPM 3.04

    Protocols and controls governing the proper administration and storage of medication include:

    1. locked, supervised storage with access limited to authorized personnel;
    2. packaging in childproof containers and labeling with the name of person served, medication name, dosage, prescribing physician name, and number or code identifying the written order;
    3. appropriate disposal of out-of-date or unused medication, syringes, medical waste, or medication prescribed to former persons served;
    4. a record of who received medications, what medications were dispensed or administered, and when and by whom medications were dispensed or administered;
    5. protocols for the administration of over-the-counter medications; and
    6. a prohibition against dispensing drug samples without a prescription.

    Interpretation: Storage of medication in a secure, central location with access by authorized personnel only is an effective risk management measure and best practice. However, COA recognizes that some programs, such as shelters and safe homes, allow clients to store medications in a safe, lockable personal space (e.g., individual lock boxes or private use lockers). In these instances, agencies can demonstrate implementation of the standard by providing protocols, procedures or other documents that demonstrate that they have acknowledged the potential risks of this method and subsequently taken appropriate measures to minimize those risks. Agencies also need to clearly communicate that clients are personally responsible for administering and storing their own medications. For example, intake processes that stipulate what clients are allowed to store in their secure, personal space and assign responsibility of the space to the client can support this approach to storing medication.

    Note: Elements d., e., and f. do not apply to agencies that only store medication. 

    Note: Please see Facility Observation Checklist - Public for additional assistance with this standard. 

    NA The agency does not dispense, administer, or store medication.


  • FP
    PA-RPM 3.05

    Personnel observe and assess the effects of medication on the service recipient and consult with medical professionals, as necessary.

    NA The agency does not prescribe or administer medication.

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