Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 390.1410 - Medication Policies and Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility 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. Medication policies and procedures shall be
				developed with the advice of a pharmaceutical advisory committee that includes
				at least one licensed pharmacist, one physician, the administrator and the
				director of nursing. This committee shall meet at least quarterly.
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 prescription or
				from the licensed prescriber's personal office supply, and shall be labeled as
				set forth in Section
				390.1440.
				A licensed prescriber who supplies medicine 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) All medications administered shall be
				recorded as set forth in Section
				390.1620.
				Medications shall not be recorded as having been administered prior to their
				actual administration to the resident.
e) The staff pharmacist or consultant
				pharmacist shall participate in the planned in-service education program of the
				facility on topics related to pharmaceutical services.
f) A pharmacist shall obtain a Division III
				license to operate an on-premises pharmacy in accordance with the rules of the
				Illinois Department of Professional Regulation (68 Ill. Adm. Code
				1330).
g) No facility shall
				maintain a stock supply of controlled drugs or legend drugs, except for those
				in the emergency medication kit, as described in this Section.
h) A facility may stock drugs that are
				regularly available without prescription. These shall be administered to a
				resident only upon the written order of a licensed prescriber. Administration
				shall be from the original containers, and shall be recorded in the resident's
				clinical record.
i) 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.