7 AAC 12.680 - Pharmaceutical service
(a) A facility which dispenses drugs must
employ a pharmacist on a regular or consultant basis. The pharmacist shall
perform the following duties:
(1) procure,
label, and maintain a sufficient quantity of drugs to meet patient needs at all
times;
(2) inventory emergency
drugs every 30 days and restock, as necessary;
(3) dispose of drugs that have been
discontinued or have expired;
(4)
dispose of scheduled drugs that have been discontinued or have expired which
are listed in schedules I - V of the Federal Comprehensive Drug Abuse
Prevention and Control Act of 1970 as amended,
21 U.S.C.
801 et seq.;
(5) assure that there is no more than one
person on each shift who is performing the duties under
7 AAC 12.670(e), or is a physician, who
has access to the pharmacy stock of drugs or controlled substances;
(6) assure that drugs, chemicals, and
biologicals are properly labeled regarding their content and
strength;
(7) if a consultant
pharmacist, provide a written quarterly report to the administrator on the
status of the pharmaceutical service; and
(8) document and evaluate medication errors
to prevent reoccurrence and to ensure the accuracy and adequacy of the
medication distribution system.
(b) When a pharmacist dispenses drugs by
written prescription, the prescription must be an original or a carbon copy of
the original and must be kept on file in the pharmacy. A pharmacist may
dispense drugs based on a written order by a person authorized by law to
prescribe drugs.
(c) A facility
that dispenses drugs must have a pharmacy and therapeutics committee that is
(1) composed of
(A) a physician or the physician's
representative;
(B) a pharmacist or
the pharmacist representative;
(C)
a registered nurse or the registered nurse's representative; and
(D) an administrator or the administrator's
representative; and
(2)
responsible for the
(A) development and
maintenance of a formulary of drugs;
(B) development and implementation of
procedures for safe and effective control, storage, dispensing, and
administration of medications; those procedures must ensure that
(i) drugs and biologicals are stored in
secure areas; and
(C) development and
implementation of policies limiting the duration of drug therapy and for
determining the stock of poison antidotes.
(d) A verbal order for a drug may be given
only to a licensed nurse or pharmacist by a person lawfully authorized to
prescribe medication, and must be recorded promptly in the patient's medical
record, identifying the name of the person who prescribed the order, and the
signature of the person receiving the order.
(e) A standing order for a drug must specify
the circumstances for drug administration, dosage, route, duration, and
frequency of administration. The order must be reviewed annually and, if
necessary, renewed. When a standing order is implemented for a specific
patient, it must be entered into the patient's record, dated, and signed by the
person who prescribed the order within 24 hours.
(f) If the facility permits bedside storage
of medications, written policies and procedures must be established for
dispensing, storage, and maintenance of records for use of these
medications.
(g) An investigational
drug may be used only under supervision of a principal investigator who is a
member of the medical staff. Basic information concerning the dosage, route of
administration, strength, actions, uses, side effects, interactions and
symptoms of toxicity of an investigational drug must be available at the
nursing station where an investigational drug is being administered and in the
pharmacy. The pharmacist shall be responsible for the proper labeling, storage,
and distribution of such drugs in accordance with the written order of the
investigator.
(h) A drug supplied
by a facility may not be taken from the facility unless the medication has been
properly labeled and prepared by the pharmacist in accordance with state and
federal law for use outside of the facility.
(i) A hospice agency that does not provide
inpatient care on agency premises, a free-standing birth center, and a frontier
extended stay clinic are exempt from the requirements of this
section.
Notes
Authority:AS 18.05.040
AS 47.32.010
AS 47.32.030
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