19 CSR 30-1.052 - Records for Long-Term Care Facilities (LTCF)
PURPOSE: This rule sets requirements for record
keeping by
(1) Long-term care facilities (LTCFs) and
their suppliers shall maintain written records of transfers of controlled
substances from the supplier to the LTCF emergency kit.
(2) The records shall include the date of
transfer; the name of each controlled substance, the strength, dosage form and
quantity; the name , address and controlled substance registration number of the
supplier and the name , address and controlled substance registration number of
the LTCF. Federal Drug Enforcement Administration (DEA) official order forms
shall not be used to record transfers of controlled substances to LTCF
emergency kits.
(3) No physician's
order or prescription shall be used for initial stocking or replacement of
controlled substances in the emergency kit. Controlled substances contained in
the kit shall be obtained from a pharmacy, hospital or practitioner who holds a
controlled substances registration .
(4) The administration and medical staff of
the LTCF, in conjunction with the primary supplier, shall designate in written
protocols and procedures who may have access to the emergency kit, who may
administer controlled substances from the emergency kit and under what
circumstances and a list of the controlled substances it intends to maintain in
the emergency kit. These protocols and procedures shall be subject to review
and approval by the Department of Health. Only those individuals designated in
the LTCF's written policies and procedures shall have access to or administer
controlled substances from the emergency kit.
(5) Each administration of controlled
substances from the emergency kit shall be based upon a practitioner's order
and shall be recorded in an administration record separate from the patient's
medical record. This administration record shall include: the date, patient's
name , drug name , drug strength, dosage, ordering practitioner's name and name
of the person administering the controlled substance.
Notes
*Original authority: 195.050, RSMo 1939, amended 1971, 1989 and 195.195, RSMo 1957, amended 1971, 1989, 1993.
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