Ohio Admin. Code 4729:5-9-03.4 - Automated drug storage systems in an institutional facility
All automated drug storage systems utilized by an institutional facility shall comply with the following:
(A)
Except as provided in paragraph (B) of this rule, the
computer program used to access all drugs within the automated drug storage
system shall have an electronic timeout of sixty seconds of
inactivity.
(B)
For an automated drug storage system used exclusively
for administering anesthesia drugs that is under the immediate supervision of a
licensed healthcare provider authorized to administer such drugs, the computer
program used to access all drugs within the automated drug storage system shall
have an electronic timeout of no more than sixty minutes of inactivity, unless
an alternative method to ensure the security of the drug stock is approved by
the board.
(C)
The institutional facility shall develop and implement
policies and procedures for all automated drug storage systems that include the
following:
(1)
Provide for a written or electronic record documenting
access to the automated drug storage system. Such record shall include the
names, titles, and positive identification of all personnel accessing
medications, date and time of access, the name and quantity of drugs obtained,
and the name of the patient. All records shall be maintained in accordance with
paragraphs (K) and (L) of rule
4729:5-9-03.3 of the
Administrative Code.
(2)
Provide security controls to prevent diversion of the
drugs.
(3)
Develop policies and procedures to track access to
emergency override access keys.
(4)
Provide
procedures for the inspection of the systems to ensure proper utilization and
replacement of the drug supply.
(5)
If override
medications are utilized, the institutional facility shall develop and
implement a policy that describes the types of medication overrides that will
be reviewed for appropriateness and the frequency of the
reviews.
(6)
All policies and procedures required in accordance with
this paragraph shall be maintained in a readily retrievable
manner.
Notes
Promulgated Under: 119.03
Statutory Authority: 3719.28, 4729.26
Rule Amplifies: 3719.09, 4729.51
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