ASSISTED LIVING POLICY MANUAL

WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE

AL8032 - Medication Administration AL8033 - Safe Medication Practices AL8034 - Decreasing Medication Errors AL8035 - Food and Drug Interactions Guide - Resident Brochure AL8036 - Insulin Pens AL8038 - Assessment for Self-Administration of Medications Form AL8026 - Discharge Medications AL8039 - Monitoring Effects of Medications on Residents AL8040 - Monitoring Opioid Administration AL8041 - Medication Errors AL8042 - Medication Incident Report Form AL8043 - Medication Error Analysis Report AL8044 - Performance Improvement Analysis - Medication Incident Form AL8045 - Adverse Drug Reaction Reporting AL8046 - Potential Adverse Drug Reaction Form AL8047 - Adverse Drug Reaction (ADR) Reporting Form (Internal)

AL8048 - Facility Adverse Drug Reaction Report Form AL8027 - Acknowledgment of Receipt of Medications AL8025 - Resident Immunization Record Form AL8002 - Consultant Pharmacist Services AL8012 - Drug Acquisitions/Storage/Inspection/Dispensing

AL8003 - Resident Drug Profiles AL8004 - Drug Regimen Review AL8005 - Psychotropic Medication Use AL8006 - High Alert Medication Management

AL8007 - Facility's List of High-Risk/High Alert Medications AL8008 - Look-Alike, Sound-Alike Medication Management AL8009 - Monthly Ordering of Medications (Provider Pharmacy) AL8010 - Ordering and Receiving Medications from an Alternate Pharmacy AL8011 - Notice of Intent to Purchase Medications from an Alternate Pharmacy Provider Form - Sample AL8013 - Controlled Drug Management AL8024 - Vaccine Information Statements (VISs) - Use of AL8014 - Narcotics AL8015 - Controlled Drug Sheet AL8016 - Disposal of Controlled Substance Patches AL8017 - Medication Reminder Boxes AL8018 - Resident's Own Medication (Usage)

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