059-12 Wyo. Code R. §§ 12-7 - Personnel

(a) A Pharmacist-in-Charge (PIC), who is licensed to engage in the practice of pharmacy in Wyoming, shall direct each institutional pharmacy.

(b) The storage, compounding, repackaging, dispensing, and distribution of drugs by an institutional pharmacy shall be under the direction, supervision, and responsibility of the PIC. Depending upon the size and needs of the institutional facility, pharmacy service may be provided on a full or part-time basis.

(i) In hospital institutional facilities with fifty (50) or more acute care beds, a pharmacist shall be in the hospital institutional facility during the time the institutional pharmacy is open for pharmacy services, except in case of emergencies. Pharmacy services shall be provided for a minimum of forty (40) hours per week, unless an exception is made upon written request by the institutional facility and with express permission of the Board.

(ii) In hospital institutional facilities with less than fifty (50) acute care beds, a pharmacist shall be in the hospital institutional facility during the time the institutional pharmacy is open for pharmacy services. Upon written request by the hospital institutional facility, and with the express permission of the Board, the services of a pharmacist may be on a part-time basis, according to the needs of the hospital institutional facility. The services of a pharmacist shall be required as follows:

(A) In hospital institutional facilities with one to twenty-five (1-25) acute care beds, a pharmacist shall be on-site a minimum of five (5) hours per week.

(B) In hospital institutional facilities with twenty-six to forty-nine (26-49) acute care beds, a pharmacist shall be on-site a minimum of twenty (20) hours per week.

(iii) In a non-hospital institutional facility, a pharmacist shall be available commensurate with the needs of the institutional facility. The hours shall be identified on the initial application and provided with each license renewal.

(c) Policies and procedures defining the pharmacy services to be provided and the responsibilities of the institutional pharmacy shall be established. Such policies and procedures shall be made available to the Board upon request.

(d) The responsibilities of the PIC shall include, at a minimum, the following:

(i) Providing the appropriate level of pharmaceutical care services to patients of the institutional facility;

(ii) Ensuring that drugs and/or devices are dispensed and distributed safely and accurately;

(iii) Developing a system for sterile compounding as required in chapter 17.

(iv) Providing guidelines and approval of the procedure to assure that all pharmaceutical requirements are met when any part of preparing, sterilizing, and labeling of sterile pharmaceuticals is not performed under direct institutional pharmacy supervision;

(v) Participating in the development of a formulary for the institutional facility which is approved by the appropriate committee, including the medical staff of the institutional facility;

(vi) Developing a system to assure that drugs to be administered to inpatients are distributed pursuant to of the practitioner's medication order;

(vii) Maintaining records of all transactions of the institutional pharmacy as may be required by applicable state and federal law, and as may be necessary to maintain accurate control over and accountability for all pharmaceutical materials;

(viii) Participating in those aspects of the institutional facility's patient care evaluation program that relate to pharmaceutical utilization and effectiveness as required in chapter 9 for prospective and retrospective drug use review;

(ix) Assuring that a reasonable effort is made to obtain, record, and maintain patient medication records;

(x) Assuring the legal operation of the institutional pharmacy, including meeting all inspection and other requirements of state and federal laws or rules governing the practice of pharmacy; and

(xi) Collaborating with the nursing staff and the medical staff to develop a list of standardized concentrations of medications that will be used in the institutional facility (e.g., therapeutic heparin intravenous infusions). Pediatric formulations will be considered as a separate listing from adult formations.

(e) The PIC shall be assisted by a sufficient number of additional licensed pharmacists as may be required to operate the institutional pharmacy competently, safely, and adequately to meet the needs of the patients. All pharmacists shall assist the PIC in meeting the responsibilities as outlined in this chapter

(f) Pharmacy technicians may assist the PIC, and pharmacists provided the ratio of pharmacy technicians and pharmacy technicians-in-training to licensed pharmacists does not exceed the requirement of chapter 10.

(g) The PIC may be assisted by secretarial and clerical assistance for non-pharmacy functions as defined in chapter 10.

Notes

059-12 Wyo. Code R. §§ 12-7