Utah Admin. Code R432-750-24 - Pharmaceutical Services
(1) The licensee
shall establish and implement written policies and procedures to govern the
procurement, storage, administration, and disposal of any drugs and biologicals
in accordance with federal and state laws.
(2)
(a) A
licensed pharmacist shall supervise pharmaceutical services.
(b) The licensee shall ensure the pharmacist
advises the hospice and hospice interdisciplinary team regarding:
(i) counseling staff on appropriate and new
drugs;
(ii) interactions of drugs;
and
(iii) procurement, storage,
administration, disposal, and record-keeping of drugs and
biologicals.
(c) The
licensee shall ensure the pharmacist conducts patient drug regimen reviews at
least monthly, or more often if necessary, and make recommendations to
physicians and hospice staff.
(d)
The licensee shall ensure the pharmacist inspects each drug storage area at
least monthly.
(3) The
licensee shall:
(a) establish and implement
written policies and procedures for drug control and accountability;
(b) maintain receipts and disposition of each
controlled drug for accurate reconciliation; and
(c) keep these records for accurate
reconciliation.
(4) The
licensee shall ensure that pharmaceutical service drugs and biologicals are
labeled based on currently accepted professional principles and include the
appropriate accessory and cautionary instructions and the expiration date when
applicable.
(5) The licensee shall
provide secure storage for medications and ensure medications that require
refrigeration are maintained between 36 and 46 degrees Fahrenheit.
(6)
(a) The
licensee shall provide separately locked compartments for the storage of
controlled drugs as well as other drugs subject to abuse.
(b) Per state and federal laws, only
authorized personnel shall have access to the locked medication
compartments.
(7)
(a) The pharmacist and a registered nurse
shall dispose of any controlled drugs no longer needed by the
patient.
(b) The licensee shall
maintain written documentation of the disposal.
(8)
(a) A
hospice inpatient facility licensee shall maintain an emergency drug kit
appropriate to the needs of the facility, assembled in consultation with the
pharmacist, and readily available for use.
(b) The pharmacist shall check and restock
the emergency drug kit at least monthly.
Notes
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No prior version found.