Ohio Admin. Code 4729:5-9-02.5 - Patient profiles
All institutional pharmacies shall maintain a patient profile system which shall provide for immediate retrieval of information regarding those patients who have received medications from that pharmacy.
(A)
All patient profile systems shall maintain, at a
minimum, the following data:
(1)
The patient's data record, which shall consist of, but
is not limited to, the following information:
(a)
Full name of the
patient for whom the drug is intended.
(b)
Patient's date of
birth.
(c)
Patient's gender, if provided.
(d)
A list of current
patient specific data consisting of at least the following, if made known to
the pharmacist or agent of the pharmacist:
(i)
Drug related
allergies;
(ii)
Previous drug reactions;
(iii)
History of or
active chronic conditions or disease states; and
(iv)
Other drugs,
including nonprescription drugs, devices and nutritional supplements used on a
routine basis.
(e)
The pharmacist's comments relevant to the individual
patient's drug therapy, including any other necessary information unique to the
specific patient or drug.
(2)
The patient's
drug therapy record, which shall contain the following information for all
medications dispensed by the pharmacy within the last twelve months.
(a)
The original
medication order;
(b)
Date and time of issuance of the medication order by
the prescriber;
(c)
Full name of the prescriber;
(d)
The prescriber's
credential (MD, NP, PA, etc.);
(e)
Directions for
use;
(f)
The proprietary name, if any, or the generic name and
the name of the distributor or national drug code of the drug or device
dispensed; and
(g)
The strength, dosage form, route of administration, and
quantity of the drug or device dispensed.
(B)
An institutional
pharmacy shall make a reasonable effort to obtain a patient's medical history
necessary to conduct a prospective drug utilization review.
(C)
The patient
profile shall be maintained for a period of not less than one year from the
date of the last entry in the profile record. This record may be a hard copy or
maintained as a part of computerized system.
Notes
Promulgated Under: 119.03
Statutory Authority: 4729.26, 3719.28
Rule Amplifies: 4729.54
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