The pharmacist in charge shall be responsible (personally or by
qualified designee) for documented monthly inspections of all drugs, devices
and related materials kept at nursing stations, surgery, delivery rooms,
emergency rooms, clinics, and any other area of the facility. Records of such
inspections shall be dated, signed and maintained so as to be readily
retrievable at the pharmacy practice site for at least two (2) years. These
inspections must assure the following:
(1) Test reagents, germicides, and
disinfectants are stored separately from drugs, devices and related
materials;
(2) External drugs,
devices and related materials are stored separately from internal drugs,
devices and related materials;
(3)
Thermolabile drugs are stored at the proper temperature;
(4) Drugs, devices and related materials
requiring special storage conditions to ensure their stability are properly
stored;
(5) There are no outdated
or deteriorated drugs, devices or related materials;
(6) All drugs, devices and related materials
are properly labeled;
(7) Emergency
drugs, devices and related materials are stored in accordance with rule
1140-04-.10;
(8) Medicine cabinets, carts and storage
areas are accessible to authorized personnel only;
(9) Dispensing of controlled substances is
properly and adequately documented;
(10) Telephone numbers of regional poison
control centers and other emergency assistance organizations are
posted;
(11) Metric-apothecaries'
weight and measure conversion tables and charts are available; and
(12) Adequate pharmaceutical references for
the drugs administered in that location are available.
(13) 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.
