Iowa Admin. Code r. 657-15.8 - Drug distribution and dispensing controls
Prescription drugs shall be distributed or dispensed only from the original or a properly verified prescription drug order. There shall be no transcribing of prescription drug orders by nursing staff or clerical staff except for their own records.
(1)
Required information. Prescription drug orders written in
patient health records shall include the following information:
a. Patient name, identification number, and
correctional facility location;
b.
Drug name, strength, dosage form, and quantity or duration;
c. Directions for use of the drug;
d. Date the prescription drug order is
authorized;
e. Prescriber's name,
signature or electronic signature, and office address;
f. Prescriber's DEA number for controlled
substances.
(2)
Original maintained. The original prescription drug order and
the medication administration record shall be maintained for a minimum of two
years in the patient's health record.
(3)
Effect upon transfer of
patient. Current prescription drug orders remain in effect when a
patient is transferred to another correctional facility.
(4)
Unit dose dispensing.
Drugs dispensed in a unit dose dispensing system for subsequent administration
by nurses or other qualified individuals shall be packaged and labeled by
pharmacy staff in compliance with the provisions of rule
657-22.1
(155A). Policies and procedures shall be implemented that include, but are not
limited to, the following:
a. Return and reuse
of drugs;
b. Expiration
dating;
c. Record
keeping.
(5)Med-pak dispensing. Drugs
may be dispensed in med-pak dispensing systems for subsequent administration by
nurses or other qualified individuals. Policies and procedures shall be
implemented that are in accordance with rule
657-22.5
(155A) and include, but are not limited to, the following:
a. Return and reuse of containers;
b. Expiration dating;
c. Record keeping.
(6)
Drug administration.
Only a licensed health care professional authorized to administer drugs or a
qualified individual shall administer to a patient prepackaged drugs from the
supply distributed by the pharmacy. Documentation of administration shall be
recorded in the medication administration record. The single unit, unit dose,
or med-pak packaging shall remain intact to the point of
administration.
(7)Dispensing for patient
self-administration. Drugs dispensed for self-administration by a
patient shall be packaged and labeled in accordance with rule
657-6.10
(126,155A).
(8)
Labeling of
drugs under special circumstances.
a.
Insulin, ophthalmics, otic
preparations, inhalers, nasal sprays, topicals, and other similarly packaged
drugs. A label shall be affixed to the immediate container showing at
least the patient's name and ID number. A label that complies with 657-subrule
6.10(1) shall be affixed to the outer container.
b.
Leave and release drugs.
Labeling of prescription drugs for patients leaving the correctional facility
for temporary absences in excess of 24 hours, such as court appearances, and
for patients being released from custody shall comply with 657-subrule 6.10(1)
before the drug is removed from the facility. The dispensing pharmacy shall be
responsible for packaging and labeling leave and release drugs in compliance
with this paragraph.
(9)Drug product selection.
Correctional pharmacies shall be exempt from the patient notification
requirements of Iowa Code section
155A.32
when exercising drug product selection.
(10)
Emergency/first dose drug
supply. An emergency/first dose drug supply of prescription drugs may
be supplied to a correctional facility for use by authorized personnel pursuant
to rule
657-22.7
(124,155A). Only pharmacists, pharmacist-interns, and pharmacy technicians may
restock, replace, or return drugs to the emergency/first dose drug supply. A
drug shall be removed from the emergency/first dose drug supply only pursuant
to a valid prescription drug order. The pharmacy shall be notified of the
removal and administration of a drug from the emergency/first dose drug supply.
The pharmacist shall perform drug use review prior to the administration of a
second dose. All drugs removed from the emergency/first dose drug supply that
are not administered, including any wastage, shall be returned to the pharmacy.
A written or electronic record shall be made of all removals from the
emergency/first dose drug supply. The record shall include the following
information:
a. Patient's name and
identification number;
b.
Prescriber;
c. Name, strength,
dosage form, and quantity of the drug removed;
d. Signature, unique identification, or
initials of the authorized person removing the drug;
e. Date and time the drug was
removed;
f. Returns of unused drugs
to the pharmacy.
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.