Haw. Code R. § 11-99-22 - Pharmaceutical services
(a) The facility
shall employ a licensed pharmacist, or shall have formal arrangements with a
licensed pharmacist to provide consultation on methods and procedures for
ordering, storage, administration, disposal, record-keeping of drugs and
biologicals, and provision for emergency service.
(b) Medications administered to a resident
shall be ordered either in writing or verbally by a physician so authorized by
facility policy.
(1) All verbal or telephone
orders for medication shall be recorded and signed by the person receiving them
and shall be countersigned by the attending physician within seventy-two
hours.
(2) All orders shall be
renewed by the physician at the time of the resident's visit to the physician
or at least every six months.
(c) Each drug shall be rechecked and
identified immediately prior to administration.
(d) Medications shall not be used for any
resident other than the one for whom they were issued.
(e) Only appropriately trained staff shall be
allowed to administer drugs and shall be responsible for proper recording of
the medication, including the route of administration. Such persons shall have
satisfactorily completed a course of training in the administration of drugs,
which course has been approved by the department. Medication errors and drug
reactions shall be recorded in the resident's chart and reported immediately to
the physician who ordered the drug and an incident report shall be prepared.
All incident reports shall be kept available for inspection by the
director.
(f) Facility staff which
makes available medications for residents shall receive appropriate instruction
in medications.
(g) Drugs shall be
stored under proper conditions of sanitation, temperature, light, moisture,
ventilation, segregation, and security.
(1)
All drugs shall be kept under lock and key except when authorized personnel are
in attendance.
(2) All security
requirements of federal and state laws shall be satisfied as they refer to
storerooms and pharmacies.
(3)
Poisons, drugs used externally, and drugs taken internally shall be stored in
locked, well marked separate cabinets, at all locations.
(4) Medications that are stored in a
refrigerator containing things other than drugs shall be kept apart and in a
locked container.
(5) If there is a
drug storeroom there shall be a perpetual inventory of receipts and issues of
all drugs in such storerooms.
(6)
Discontinued and outdated drugs and containers with worn, illegible, or missing
labels shall be returned to the pharmacy or drug room for proper
disposition.
(h) There
shall be written policies and procedures governing resident self-administration
of drugs. These shall include at least the following:
(1) Procedures for physician documentation in
the resident's record that a plan of self-administration should be
developed.
(2) Supervision of
resident self-administration by an appropriately trained staff
member.
(3) Provision for
appropriate storage of drugs.
(4)
Documentation in the resident's record of resident compliance.
Notes
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No prior version found.