6 CCR 1011-1 Chapter 22, pt. 13 - [Effective 3/17/2025] PHARMACEUTICAL SERVICES
13.1 The facility
shall maintain an inventory of medications and intravenous fluids sufficient to
care for the pregnant/birthing clients and newborns registered for
care.
13.2 The facility shall have
and follow policies and procedures for the storage, dispensing, and
administration, and disposal of medications and intravenous fluids, as
developed by the clinical director at Part 5.2(D) and approved by the governing
body in accordance with part 3.4(B). Such policies and procedures shall:
(A) Comply with professional standards of
practice and applicable state and federal laws and regulations, including but
not limited to, 21 CFR Section 1300, et seq., pertaining to
federal drug enforcement administration requirements for controlled
substances.
(B) Require that
medications and intravenous fluids be administered only by a clinical provider
or auxiliary or contracted staff member with such administration included in
their clinical privileges.
(C)
Include procedures for monitoring the expiration date of all medications.
(D) Ensure medications and
intravenous fluids maintained in the facility are appropriately stored and
safeguarded against diversion or access by unauthorized persons.
(E) Require all medications and intravenous
fluids be disposed of in accordance with federal and state laws and regulations
and that appropriate records be kept regarding the disposal.
(F) Include the following requirements
regarding controlled substances:
(1)
Controlled substances shall be maintained in double-locked, secured cabinets.
There shall be a written procedure for maintaining accountability and
monitoring for diversion.
(2)
On-site destruction of controlled substances shall be witnessed and documented
in writing by two clinical providers and destroyed in a manner that renders the
controlled substances totally
irretrievable.
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No prior version found.