The pharmacist in charge or designee, in conjunction with
appropriate committees of the facility, shall be responsible for approving
policies for the distribution and control of drugs within the facility. The
process shall be established to provide for the safe and efficient distribution
of drugs and for the provision of pharmaceutical care, and shall include but
not be limited to:
(1) A drug
dispensed from the pharmacy for subsequent administration to a patient shall be
appropriately identified with the name and location of the patient and the name
and strength of the drug.
(2) The
pharmacist in charge is responsible for the development and maintenance of an
audit trail on drugs dispensed.
(3)
The prescription order shall be recorded on a patient medication profile that
will be maintained during the patient's treatment. This profile shall include
the date of the prescription order, the name and dosage form of the drug and
the dose and administration frequency.
(4) The facility distribution system may be
based on a combination of processes that will ensure compliance with federal
and state guidelines such as emergency kits/crash carts, floorstock systems,
automated dispensing devices, medication carts, and/or after-hours procedures
for pharmacy site access.
(5) Upon
request, the Board may waive selected portions of these requirements so long as
any waiver granted is consistent with the Board's authority under Tenn. Code
Ann. Title 63, Chapters 1 and 10, and Tenn. Code Ann. Title 4, Chapter
5.
Notes
Tenn. Comp. R. & Regs. 1140-04-.05
Original rule
filed February 7, 1983; effective March 9, 1983. Amendment to rule filed
November 16, 1992; effective January 8, 1993. Repeal and new rule filed May 11,
1998; effective July 25, 1998. Amendments filed November 22, 2016; effective
2/20/2017.
Authority: T.C.A. ยงยง
63-10-204,
63-10-304,
63-10-404(11), (14), and
(27), and 63-10-504(b)(1) and (2).
