28 Pa. Code § 211.9 - Pharmacy services
(a) Facility
policies shall ensure that:
(1) Facility
staff involved in the administration of resident care shall be knowledgeable of
the policies and procedures regarding pharmacy services including medication
administration .
(2)
[Reserved].
(b) Facility
policies shall ensure that medications are administered by authorized persons
as indicated in §
201.3 (relating to
definitions).
(c) Medications and
biologicals shall be administered by the same licensed person who prepared the
dose for administration and shall be given as soon as possible after the dose
is prepared.
(d) Medications, both
prescription and non-prescription , shall be administered under the orders of
the attending physician, or the physician's delegee authorized under
42 CFR
483.30(e) (relating to
physician services).
(e)
[Reserved].
(f) Residents shall be
permitted to purchase prescribed medications from the pharmacy of their choice.
If the resident does not use the pharmacy that usually services the facility ,
the resident is responsible for securing the medications and for assuring that
applicable pharmacy regulations and facility policies are met. The facility :
(1) Shall notify the resident or the
resident representative , at admission and as necessary throughout the
resident 's stay in the facility , of the right to purchase medications from a
pharmacy of the resident 's choice as well as the resident 's and pharmacy 's
responsibility to comply with the facility 's policies and Federal and State
laws regarding packaging and labeling requirements.
(2) Shall have procedures for receipt of
medications from outside pharmacies including requirements for ensuring
accuracy and accountability. Procedures shall include the review of medications
for labeling requirements, dosage and instructions for use by licensed
individuals who are authorized to administer medications.
(3) Shall ensure that the pharmacist or
pharmacy consultant will receive a monthly resident medication profile from the
selected pharmacy provider.
(4)
Shall have a policy regarding the procurement of medications in urgent
situations. Facilities may order a 7-day supply from a contract pharmacy if the
resident 's selected pharmacy is not able to comply with these
provisions.
(g)
[Reserved].
(h)
[Reserved].
(i)
[Reserved].
(j)
[Reserved].
(j.1) The facility
shall have written policies and procedures for the disposition of medications
that address all of the following:
(1) Timely
and safe identification and removal of medications for disposition.
(2) Identification of storage methods for
medications awaiting final disposition.
(3) Control and accountability of medications awaiting final
disposition consistent with standards of practice.
(4) Documentation of actual disposition of
medications to include the name of the individual disposing of the medication ,
the name of the resident , the name of the medication , the strength of the
medication , the prescription number if applicable, the quantity of medication
and the date of disposition.
(5) A
method of disposition to prevent diversion or accidental exposure consistent
with applicable Federal and State requirements, local ordinances and standards
of practice.
(k) The
oversight of pharmaceutical services shall be the responsibility of the quality
assurance committee. Arrangements shall be made for the pharmacist responsible
for the adequacy and accuracy of the services to have committee input. The
quality assurance committee, with input from the pharmacist , shall develop
written policies and procedures for drug therapy, distribution, administration,
control, accountability and use.
(l) A facility shall have at least one emergency medication kit
that is readily available to staff. The kit used in the facility shall be
governed by the following:
(1) The facility
shall have written policies and procedures pertaining to the use, content,
storage, security, refill of and inventory tracking for the kits.
(2) The quantity and categories of
medications and equipment in the kits shall be based on the immediate needs of
the facility and criteria for the contents of the emergency medication kits
shall be reviewed not less than annually.
(3) The emergency medication kits shall be
under the control of a practitioner authorized to dispense or prescribe
medications under the Pharmacy Act (63 P.S. §§ 390-1-390-13).
(4) [Reserved].
Notes
The provisions of this § 211.9 amended under section 803 of
the Health Care Facilities
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