Hawaii Administrative Rules › Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS › Chapter 95 - PHARMACISTS AND PHARMACIES › Subchapter 10 - SCOPE OF PRACTICE › Section 16-95-80 - Physical presence of a registered pharmacist

Current through June, 2024
(a) A
				registered pharmacist shall be physically present during the hours of operation
				of a prescription area.
(b) At any
				time a registered pharmacist is not in the prescription area, (except in cases
				of emergencies), the entire stock of prescription drugs shall be secured from
				access to unauthorized persons and the means of access shall only be in the
				control of the pharmacist.
(c) A
				pharmacist in an institutional pharmacy shall ensure that written policies and
				procedures have been established by the institutional facility for providing
				drugs to the medical staff and other authorized personnel of the institutional
				facility by use of night cabinets, and access to the institutional pharmacy and
				emergency kits when the pharmacist is not in the area. A "night cabinet" is a
				cabinet, room, or any other enclosure not located within the prescription area.
				The written policies and procedures shall provide that a pharmacist shall be
				"on call" during those periods when night cabinets are utilized and shall
				provide policies and procedures regarding the following:
(1) Security of the night cabinet to ensure
				that the night cabinet is sufficiently secured to deny access to unauthorized
				persons by force or otherwise;
(2)
				The development and maintenance of an inventory listing of all drugs included
				in the cabinet and the requirement that the pharmacist ensures, at a minimum,
				that:
(A) Drugs available therein are properly
				labeled;
(B) Only prepackaged drugs
				are available therein in amounts sufficient for immediate therapeutic
				requirements; and
(C) An
				appropriate practitioner's prescription regarding the dispensing of drugs
				exists;
(3) Access to
				the pharmacy. In the event a drug is not available from floor supplies or night
				cabinets and the drug is required to treat the immediate needs of a patient
				whose health would otherwise be jeopardized, the drug may be obtained from the
				institutional pharmacy in accordance with this subsection. Authorized personnel
				may remove drugs therefrom provided:
(A) The
				authorized personnel are designated, in writing, by the institutional
				facility;
(B) The authorized
				personnel have been instructed by the pharmacist of the proper methods of
				access, and the records and procedures regarding removal of the drugs;
				and
(C) The authorized personnel
				are required to complete a form which shall include the patient's name and room
				number, the name of drug, drug strength, dosage, quantity of drug removed,
				date, time, and the signature of the authorized personnel; and
(4) The prompt detection, removal,
				disposal, handling, and replacement, if possible, of a drug that has been
				recalled by the U.S. Food and Drug Administration or the manufacturer to ensure
				that recalled drugs are removed from the pharmacy's inventory, emergency kit,
				night cabinet, remote dispensing machine, or from the patient if deemed
				necessary according to the federal and manufacturer's guidelines.