N.M. Admin. Code § 16.19.7.8 - LEADERSHIP
A. There shall be a
pharmacist-in-charge of the hospital pharmacy. The pharmacist in charge may be
employed part-time or full-time as the activity of service requires. When
services are provided on a part-time basis, the pharmacist-in-charge or
designated pharmacist shall visit the facility at least every 72 hours.
Visitation schedules exceeding 72 hours must request Board approval.
B. The pharmacist-in-charge shall be assisted
by an adequate number of competent and qualified personnel.
C. Written job descriptions for all
categories of pharmacy personnel shall be prepared and revised as
necessary.
D. A pharmacy policy and
procedure manual shall be prepared by the pharmacist-in-charge and readily
available. The manual shall be reviewed annually for the purpose of
establishing its consistency with current hospital practices and the process
documented. A copy of this manual shall be submitted to the Board or its agent
for review and approval at the time of the hospital license application. Any
subsequent changes shall be reviewed by the Board or its agent.
Notes
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