12 Va. Admin. Code § 5-391-430 - Pharmacy services
A. All
prescription drugs shall be prescribed and properly dispensed to the patient
according to the provisions of Chapters 33 (§
54.1-3300 et seq.)
and 34 (§
54.1-3400 et seq.) of
Title 54.1 of the Code of Virginia and the regulations of the Virginia Board of
Pharmacy, except for prescription drugs authorized by §
54.1-3408
of the Drug Control Act , such as epinephrine for emergency administration,
normal saline and heparin flushes for the maintenance of IV lines, and adult
immunizations, which may be given by a nurse pursuant to established
protocol.
B. Home attendants may
administer normally self-administered drugs in the patient 's private residence
as allowed by §
54.1-3408
of the Virginia Drug Control Act (Chapter 34 (§
54.1-3400 et seq.) of
Title 54.1 of the Code of Virginia). Any other drug shall be administered only
by a licensed nurse or physician assistant.
C. The hospice program shall develop written
policies and procedures for the administration of infusion therapy medications
that include:
1. Developing a plan of
care ;
2. Initiation of medication
administration based on a prescriber's order and monitoring of the patient for
response to the treatment and any adverse reactions or side effects;
3. Assessment of any factors related to the
home environment that may affect the prescriber's decisions for initiating,
modifying, or discontinuing medications;
4. Communication with the prescriber
concerning assessment of the patient 's response to therapy, any other patient
specific needs, any significant change in the patient 's condition;
5. Communication with the patient 's provider
pharmacy concerning problems or needed changes in a patient 's
medication;
6. Maintaining a
complete and accurate record of medications prescribed, medication
administration data, patient assessments, any laboratory tests ordered to
monitor response to drug therapy and results, and communications with the
prescriber and pharmacy provider;
7. Educating or instructing the patient ,
family members, or other caregivers involved in the administration of infusion
therapy in the proper storage of medication, in the proper handling of supplies
and equipment, in any applicable safety precautions, in recognizing potential
problems with the patient , and actions to take in an emergency; and
8. Initial training and retraining of all
hospice program staff providing infusion therapy.
D. The hospice program shall employ a
registered nurse who holds a current active license with the Virginia Board of
Nursing, has completed training in infusion therapy and has the knowledge,
skills, and competencies to safely administer infusion therapy to supervise
medication administration by staff. This person shall be responsible for
ensuring compliance with applicable laws and regulations, adherence to the
policies and procedures related to administration of medications, and
conducting periodic assessments of staff competency in performing infusion
therapy.
E. Hospice and hospice
facility employees who are authorized to possess, distribute, or administer
medications to patients may store, dispense, or administer cannabidiol oil or
THC-A oil to a patient who has:
1. Been
issued a valid written certification for the use of cannabidiol oil or THC-A
oil in accordance with subsection B of §
54.1-3408.3
of the Code of Virginia; and
2.
Registered with the Board of Pharmacy.
Notes
Statutory Authority: §§ 32.1-12 and 32.1-162.5 of the Code of Virginia.
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