Medication administration follows the agency's documented procedure with explicit before-and-after notation in the client record.
Scope
This policy applies to all caregivers and supervisors at Maple Care providing Personal Care services in Utah under the DSPD §R539-1-307 waiver.
Procedure
- Caregiver follows the documented procedure each shift, with before-and-after notation in the client's care record.
- Any deviation triggers the Incident Reporting workflow (Policy 5701) within 24 hours.
- Supervisor reviews the documented record weekly and signs off in the agency's audit trail.
- Annual training refresh required (per Policy 5709 Caregiver Training).
Audit anchor
Each invocation of this procedure is sealed into the agency's capsule chain. The audit trail is forensically verifiable; an external auditor can reconstruct the full procedure history from the chain.
Source: Utah Admin Code R501-2-7. Cross-references: R539-1-307, R432-200-5.