Emergency Drug Kits may be placed in licensed hospices by the
pharmacy of the consultant or vendor pharmacist provided the following
guidelines are met:
(1) A record of
the drugs to be kept in an emergency drug kit to be kept in the hospice and the
(2) Drugs shall
not be accessed for use from the emergency drug kit in an emergency situation
without a new prescription drug order from a licensed practitioner. A valid,
signed prescription drug order for any such drug must be issued to the vendor
pharmacy, supplying the emergency drug kit, within 72 hours of the drug being
taken from the kit.
drug kits shall be stored in limited access areas and sealed to prevent
unauthorized access and to insure a proper environment for preservation of the
drugs therein. The provider pharmacy shall develop a method to readily
determine if an emergency drug kit has been accessed without
(4) An emergency
drug kit must be inventoried once a month by a pharmacist from the provider
pharmacy and sign a card attached to the kit indicating the date it was
inspected. The provider pharmacy must maintain an adequate record of such
(5) Special Agents of
the GDNA shall have the authority to check emergency drug kits as well as the
records in the provider pharmacy to determine that drugs and records are
accurate and the emergency drug kit is being properly used;
(6) The provider pharmacy must apply on an
individual basis to the Board, in care of the GDNA Director, for approval to
place an emergency drug kit in each individual hospice and a copy of this
approval will be kept on file in both the hospice and the provider pharmacy.
Upon recommendation by the GDNA Director, the Board may revoke the approval for
an emergency drug kit in any hospice where abuse or misuse of drugs from the
emergency drug kit is used for any purpose other than emergency
(7) The Board shall have
the authority to approve on an individual basis the drugs and the amounts of
each individual drug allowed to be kept in an emergency drug kit. Any change in
the drugs and amounts kept in a kit must be submitted in writing to the GDNA
Director who shall make recommendations to the Board. After Board approval, a
copy of this approval will be maintained in the GDNA provider pharmacy file and
by the nursing home. Any emergency drug kit approval becomes null and void once
the approved pharmacy ceases to provide that kit.
(8) Each solid oral dosage form placed in an
emergency drug kit must be individually labeled with the name and strength of
the drug, lot number, expiration date, and other appropriate cautionary
(9) The exterior
of an emergency drug kit shall be labeled so as to clearly and unmistakably
indicate that it is an emergency drug kit and is for "EMERGENCY USE ONLY", and
the label shall be physically signed and dated by the pharmacist who sealed the
kit. In addition, a listing of the drugs contained therein, including the name,
address, and telephone number(s) of the provider pharmacy shall be attached to
both the exterior and the interior of an emergency drug kit.
Ga. Comp. R. & Regs.
Original Ruler entitled
"Hospice Emergency Drug Kits" adopted. F. Apr. 8,
1998; eff. Apr. 28, 1998.
Repealed: New Rule of same title adopted. F.
Feb. 25, 2002; eff.
Mar. 17, 2002.