Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart E - MEDICATIONS › Section 340.1650 - Medication Policies and Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a) Medication administration services are
				provided by a facility when medications are administered by facility staff.
				Facilities that provide medication administration services shall adopt written
				policies and procedures for properly and promptly obtaining, dispensing,
				administering, returning, and disposing of drugs and medications. These
				policies and procedures shall be consistent with the Act and this Part, shall
				be in compliance with all applicable federal, State, and local laws, and shall
				be followed by the facility. These policies and procedures shall be developed
				with the advice of a pharmaceutical advisory committee that includes at least a
				pharmacist, a physician, the administrator and the director of nursing. (This
				is not intended to limit the facility's organization of responsibilities. Any
				group that includes at least these four members may approve these policies and
				procedures.)
b) For the purpose of
				this Subpart, "licensed prescriber" means a physician; a dentist; a podiatrist;
				an optometrist certified to use therapeutic ocular pharmaceutical agents; a
				physician assistant to whom prescriptive authority has been delegated by a
				supervising physician; or an advanced practice nurse practicing under a valid
				collaborative agreement.
c) All
				legend medications maintained in the facility shall be on individual
				prescriptions or from the licensed prescriber's personal office supply, and
				shall be labeled as set forth in Section
				340.1670.
				A licensed prescriber who dispenses medication from his or her personal office
				supply shall comply with Sections 33 and 54.5 of the Medical Practice Act of
				1987 [225 ILCS 60/33 and 54.5]; or Section 51 of the Illinois Dental Practice
				Act [225
				ILCS 25/51 ]; or the Podiatric Medical Practice Act of
				1987 [225 ILCS 100 ]; or Section 15.1 of the Illinois Optometric Practice Act
				of 1987 [225
				ILCS 80/15.1 ]; or Section 15-20 of the Nursing and
				Advanced Practice Nursing Act [225 ILCS
				65/15-20 ]; or Section 7.5 of the Physician Assistant
				Practice Act of 1987 [225
				ILCS 95/7.5 ].
d) No facility shall maintain a stock supply
				of controlled drugs or legend drugs, except for those in the emergency
				medication kits and convenience boxes, as described in this Section.
e) A facility may stock drugs that are
				regularly available without prescription. These shall be administered to a
				resident only upon written order of a licensed prescriber. These medications
				shall be administered from the original containers, and shall be recorded in
				the resident's clinical record. Medications shall not be recorded as having
				been administered prior to their actual administration to the
				resident.
f) A facility may keep
				"convenience boxes" containing medications to be used for initial doses.
1) The contents and number of convenience
				boxes shall be determined by the pharmaceutical advisory committee. The
				contents shall be listed on the outside of each box.
2) Each convenience box shall be the property
				of and under the control of the pharmacy that supplies the contents of the box,
				and it shall be kept in a locked medicine room or cabinet.
3) No Schedule II controlled substances shall
				be kept in convenience boxes.