Mich. Admin. Code R. 338.3153a - Medication orders for patients in medical institutions
Rule 53a.
(1) A
licensee shall include all of the following information in a prescription for
controlled substance medications to be dispensed for administration to an
inpatient in a medical institution:
(a) The
patient's name.
(b) The
prescriber's name, address, and DEA number. In place of including the address
and DEA number on each medication order, the pharmacy may maintain a separate
list of prescribers. The list must contain the prescriber's name, address, and
DEA number.
(c) The prescriber's
signature.
(d) The name, dose, and
frequency of administration of the medication.
(e) The date of the medication
order.
(2) If alternative
therapy has been evaluated and the immediate administration of a controlled
substance, including a schedule 2 medication, is necessary for the proper
treatment of a patient, a pharmacist may dispense the controlled substance for
administration to the inpatient if all of the following conditions are met:
(a) The oral order of the prescriber is
committed to a written or electronic order in the patient chart by a nurse
licensed under part 172 of the code, MCL
333.17201 to
333.17242, a physician's
assistant licensed under part 170 of the code, MCL
333.17001 to
333.17097, or part 175 of the
code, MCL
333.17501 to
333.17556, or a pharmacist
licensed under part 177 of the code, MCL
333.17701 to
333.17780, who has communicated
directly with the prescriber.
(b)
The order states the name of the prescriber and the name of the nurse,
physician's assistant, or pharmacist who received the verbal order.
(c) The order is forwarded to the
pharmacy.
(d) The prescriber signs
the original order at the next visit or within 7 days.
(3) A licensee shall preserve an original
order for a period of 5 years after the patient discharge date and the original
order must be readily retrievable. After 2 years, a licensee may make an
electronic duplicate of the original order that becomes the original order. If
a licensee maintains patient records electronically, a printed copy must be
immediately available for a current inpatient and within 48 hours on request of
an authorized agent of the board for a patient discharged in the last 5
years.
Notes
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