California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8.5 - Intermediate Care Facilities/Developmentally Disabled-Habilitative › Article 3 - Services › Section 76901 - Pharmaceutical Services-Labeling and Storage of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drug containers which are cracked, soiled
				  or without secure closures shall not be used. Drug labels shall be
				  legible.
(b) All drugs obtained by
				  prescription shall be labeled in compliance with state and federal laws
				  governing prescription dispensing. No person other than the dispenser of the
				  drug shall change any prescription label.
(c) Nonlegend drugs shall be labeled in
				  conformance with state and federal food and drug laws.
(d) Test reagents, germicides, disinfectants
				  and other household substances shall be stored separately from drugs and shall
				  not be accessible to clients unless so specified in the client's individual
				  service plan.
(e) External use
				  drugs in liquid, tablet, capsule or powder form shall be stored separately from
				  drugs for internal use.
(f) Drugs
				  required to be stored at room temperature shall be stored at temperatures
				  between 15°C (59°F) and 30°C (86°F). Drugs requiring
				  refrigeration shall be stored in a refrigerator between 2°C (36°F) and
				  8°C (46°F). When drugs are stored in the same refrigerator with food,
				  the drugs shall be kept in a closed container clearly labeled "drugs" or
				  "medications."
(g) Drugs shall be
				  stored in an orderly manner in cabinets, drawers or carts of a size to prevent
				  crowding.
(h) Dose preparation and
				  administration areas shall be lighted in accordance with Table 2-53Q, Part 2,
				  Title 24, California Administrative Code. If medication carts are utilized a
				  flashlight shall be available on the cart.
(i) Drugs, hypodermic syringes and needles
				  shall be accessible only to the administrator, pharmacist, physician,
				  registered nurses, licensed vocational nurses and psychiatric technicians and
				  direct care staff who administer medications except as provided in Section
				  76876(f)(1). Such
				  access shall be designated in writing by the facility.
(j) Drugs shall not be kept in stock after
				  the expiration date on the label and no contaminated or deteriorated drugs
				  shall be available for use.
(k) The
				  drugs of each client shall be kept and stored in the original container. No
				  drug shall be transferred between containers.
(l) Containers of discontinued drugs shall be
				  marked to indicate that the drug has been discontinued and shall be disposed of
				  in accordance with Section
				  76903 within 90 days unless
				  reordered within that time.
(m)
				  Nonlegend medications may be stored at a client's bedside under the following
				  conditions:
(1) Such storage is not
				  contraindicated by the attending physician who shall be informed of all such
				  storage. Facilities may adopt more restrictive policies regarding bedside
				  storage of medications.
(2) The
				  names of drugs located at the bedside shall be recorded in the client's
				  individual service plan.
(3) The
				  facility shall record bedside medication used daily based on observation or
				  information supplied by the client.
(4) The facility shall maintain a record of
				  drugs obtained for bedside use, including date of receipt, client name and
				  quantity.
(5) Marked change in the
				  use of self-administered drugs that indicate a significant change in the
				  condition of the client shall be reported to the physician.
(6) Such medications shall be secured against
				  access by the other clients.