Haw. Code R. § 11-99-72 - 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, recordkeeping of drugs and
biologicals, and provision for emergency service.
(b) There shall be a current pharmacy policy
manual developed and approved by the pharmacist, physician, and licensed
nursing staff which:
(1) Includes policies
and procedures and defines the functions and responsibilities relating to
pharmacy services.
(2) Is revised
as necessary to keep abreast of current developments in overall drug
usage.
(3) Governs the safe
administration and handling of all drugs.
(4) Includes policies regarding
self-administration of drugs.
(5)
Includes a formulary appropriate to the facility.
(c) Medications administered to a resident
shall be ordered either in writing or verbally by a physician so authorized by
facility policy.
(1) Physician's verbal
orders for prescription drugs shall be given only to a licensed nurse,
pharmacist, or another physician.
(2) 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.
(3) All orders shall be reviewed by the
physician at least every ninety days.
(d) Each drug shall be rechecked and
identified immediately prior to administration.
(e) Medications shall not be used for any
resident other than the one for whom they were issued.
(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 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.
(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.
(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 the
drugs.
(4) Documentation in the
resident's record of resident compliance with the drug regimen.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.