Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-26 - MINIMUM STANDARDS FOR INTERMEDIATE CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED › Section 59A-26.012 - Drugs and Pharmaceutical Services

Current through Reg. 50, No. 138; July 16, 2024
(1) An
				ICF/DD must have a Class I Institutional Pharmacy Permit as required by the
				Department of Health in Section
				465.019, F.S. All prescription
				medications must be compounded and dispensed by a pharmacy registered in
				Florida. A consultant pharmacist must be responsible for implementation of the
				pharmacy program as defined by each licensee even when the consultant
				pharmacist is not the vendoring pharmacist.
(2) Labeling of prescription medications must
				be done as required by the Department of Health in Sections
				465.0235,
				465.186 and
				499.0054, F.S. and Rule Chapter
				64B16-27, F.A.C., as required by the Department of Health. Stock bottles of
				nonprescription drugs which are properly labeled according to the regulations
				related to the Drug and Cosmetic Act, Section
				499.0054, F.S., are
				permitted.
(3) All drugs, including
				nonprescription stock drugs, must be stored in a locked room or cabinet, or in
				a locked drug cart. External medications must be stored separately from
				internal and ophthalmic preparations.
(4) Biologicals and other drugs must be
				stored to maintain its integrity of packaging, quality and potency. If
				refrigeration is required then these drugs must be in a locked
				container.
(5) All drugs listed in
				Schedules II through V must be handled, used, administered and dispensed as
				required by the Florida Comprehensive Drug Abuse Prevention and Control Act in
				Section 893.06, F.S.
(6) A count of controlled drugs listed in
				Schedules II-V of Section
				893.03, F.S., must be made
				jointly between shifts by the licensed nurse beginning duty and the licensed
				nurse leaving duty. For facilities licensed for six beds or less, the count
				must be done by the supervising registered nurse on a weekly basis. For
				facilities licensed for more than six beds, a medication count of controlled
				substances must be made at every change of shift by the licensed nurse or an
				unlicensed medication assistant (UMA) as defined in Rule
				59A-26.002, F.A.C. The count at
				shift change must be witnessed by another licensed nurse or another staff
				member trained in medication administration.
(7) A record must be maintained for all drugs
				listed in Section 893.03, F.S., of the Florida
				Comprehensive Drug Abuse Prevention and Control Act as Schedules II, III, IV,
				and V for continuous reconciliation.
(8) Medicinal substances classified as
				controlled substances by the Drug Enforcement Administration (DEA), as provided
				in the Drug Abuse Prevention and Control Act of 1970 and related regulations,
				and Section 893.03, F.S., as required by the
				Florida Comprehensive Drug Abuse Prevention and Control Act and must be
				disposed of as required by Rule
				64B16-28.303, F.A.C., as
				required by the Department of Health.
(9) Disposal of other drugs not covered above
				must be made in accordance with a system of drug administration.
(10) All prescribed drugs dispensed for the
				client while in the facility may be given to the client or client's
				representative upon discharge with the physician's written orders.
(11) An inventory of drugs released must be
				prepared and signed by the licensed nurse releasing the drugs and the person
				receiving the drugs. This inventory must be filed in the client's medical
				record.
(a) All medications of deceased
				clients must be accounted for on an inventory list prepared by a licensed nurse
				and filed in the client's record. These medications must be returned for credit
				or destroyed in accordance with subsections (8) and (9) above.
(b) All controlled drugs not administered to
				a client due to wastage, loss, or returned to the pharmacy must be documented
				in each client's medical record and accounted for by licensed nurse as required
				by the Florida Comprehensive Drug Abuse Prevention and Control Act in Section
				893.07, F.S.