Ga. Comp. R. & Regs. R. 111-8-37-.21 - Pharmaceutical Services
(1)
The hospice must provide for the procurement, storage, administration, and
destruction of drugs and biologicals utilized for hospice care in accordance
with accepted professional principles and in compliance with all applicable
state and federal laws.
(2) The
hospice must:
(a) Ensure medication and
pharmacy procedures are approved by a licensed pharmacist who is either
employed directly or has a formal arrangement with the hospice;
(b) Ensure the availability of a licensed
pharmacist on a 24-hour per day basis to advise the hospice staff regarding
medication issues and to dispense medications;
(c) Ensure that any emergency drug kit placed
in the hospice is in accordance with all applicable laws and rules and
regulations:
(d) Ensure that drugs
and biologicals are labeled in accordance with current accepted standards of
practice;
(e) Ensure effective
procedures for control and accountability of all drugs and biologicals
throughout the hospice, including records of receipt, disposition, destruction,
and reconciliation of all controlled substances and dangerous drugs;
and
(f) Ensure that only licensed
nurses or physicians, acting within the scope of their licenses, administer
medications on behalf of the hospice, except for liquid morphine administered
in accordance with O.C.G.A. §
31-7-12.2(g)(7)(G).
(3) In the event of special circumstances
under which the hospice is unavailable to administer liquid morphine to a
hospice patient residing in an assisted living community, the hospice may train
a certified medication aide at the community to administer the medication,
subject to the following requirements:
(a)
The patient is under a physician's written order that contains specific
instructions for indication, dosage, frequency and route of
administration;
(b) The initial
dose is administered by a licensed hospice health care professional;
(c) The hospice provides adequate training to
ensure that the medication aide who will be administering the liquid morphine
can do so safely and properly;
(d)
The morphine administration training is repeated at least on an annual basis to
ensure continuing competency; and
(e) The hospice maintains documentation of
compliance with these requirements.
Notes
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