Haw. Code R. § 11-96-29 - Pharmaceutical services

(a) The center shall consult with a licensed pharmacist on methods and procedures for storage, administration, disposal, and record keeping of drugs and biological substances.

(b) A pharmacy policy manual shall be developed and kept current by the licensed nursing staff, consultant pharmacist or a licensed physician which:

(1) Contains appropriate policies and procedures and defines the functions and responsibilities relating to pharmacy services;

(2) Is revised as necessary to keep up to date with development in overall drug usage;

(3) Specifies the safe administration and handling of all drugs; and

(4) Includes policies regarding self-administration of drugs.

(c) Medications administered to a client shall be ordered by the attending physician in writing.

(1) Where physicians' verbal orders are directed to the center, only the facility's licensed medical or nursing staff shall receive such orders; and

(2) Any verbal or telephone medication orders shall be recorded and signed by the person receiving them and must be verified in writing by the attending physician within four days.

(d) Each drug shall be rechecked and identified prior to administration.

(e) No medication shall be administered to a client by center personnel unless the name, dosage, and frequency of administration of the drug and the name of the prescribing physician are recorded in the client's record.

(f) Only appropriately licensed and trained staff shall be allowed to administer drugs and shall be responsible for proper recording of the medication including the route of administration. Medication errors and drug reactions shall be recorded in the client's health record, reported immediately to the prescribing physician and an incident report prepared. All incident reports shall be kept available for inspection by the director for a period of three years.

(g) Drugs shall be stored under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, and security when placed in the care of the center.

(1) A11 drugs shall be kept under lock and key except when authorized personnel are in attendance;

(2) Poisons, drugs used externally, and drugs taken internally shall be stored in locked, well marked separate cabinets, at all locations;

(3) Medications that are stored in a refrigerator containing things other than drugs shall be kept apart and in a locked container;

(4) Discontinued and out dated drugs, drugs left by clients who have expired or who have not visited the center for thirty days, containers with worn, illegible, or missing labels, shall be returned to the client's family or responsible party for proper disposition.

Notes

Haw. Code R. § 11-96-29

[Eff ] (Auth: HRS § 321-11) (Imp: HRS § 321-11)