Or. Admin. Code § 855-041-6150 - General Pharmacy Requirements
(1) Each hospital pharmacy must have an
Oregon licensed pharmacist designated as Pharmacist-in-Charge (PIC).
(2) A hospital that has more than one
pharmacy must designate an Oregon licensed pharmacist as CPO or an equivalent
position who has responsibility for directing pharmacy services in the
hospital. The CPO may also be the PIC of one of the pharmacies.
(3) A hospital pharmacy may only be operated
when under the direct supervision of an Oregon licensed pharmacist. The
pharmacist shall be responsible for all areas of the hospital where drugs are
stored, including remote storage areas
(4) The pharmacy must be operated at least
part-time, five days a week.
(5)
The hospital pharmacy must have adequate space so that drugs can be prepared in
sanitary, well-lit, enclosed places. Space and equipment must be adequate for
the pharmaceutical services provided including compounding, distributing, and
storage of drugs and parenteral preparations.
(6) As a minimum, the pharmacy must have the
following:
(a) Equipment listed in OAR
855-041-1035, except that a
pharmacy that is only registered as an institutional drug outlet does not need
to have an Official Poison and Exempt Narcotic Register;
(b) A drug formulary approved by the
appropriate hospital committee;
(c)
Pharmacy policy and procedures.
(7) All areas occupied by a hospital pharmacy
must be secured to prevent access by unauthorized personnel.
(a) Whenever any area of a hospital pharmacy
is not under direct supervision of a pharmacist, the area must be
secured;
(b) The CPO shall
designate in writing, by title and specific area, those persons who may have
access to specific areas within the pharmacy;
(c) Unless otherwise permitted by these
rules, a non-pharmacist may not have access to the pharmacy unless a pharmacist
is on duty and present in the hospital.
(8) A residential healthcare facility that
has a central pharmacy must comply with these rules.
(9) Upon written request, the Board may waive
any of the requirements of this rule if a waiver will further public health or
safety or the health and safety of a patient. A waiver granted under this
section shall only be effective when it is in writing. A waiver is not valid
for more than five years.
Notes
Statutory/Other Authority: ORS 689.205
Statutes/Other Implemented: ORS 689.155
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