Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-18 - SLEEP DISORDERS FACILITIES › Section 420-5-18-.08 - Storage, Preparation And Handling Of Drugs And Medicines

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Administering Drugs and Medicines
. Drugs and medicines
			 shall not be administered to individual patients nor to anyone within or
			 outside the facility unless ordered by a physician duly licensed to prescribe
			 drugs. Such order shall be in writing and signed personally by the physician
			 who prescribes the drug or medicine.
(2)
Medicine
			 Storage
. Medicines, drugs and biologicals maintained in the sleep
			 disorders facility for administration shall be properly stored and safeguarded
			 in enclosures of sufficient size and which are not accessible to unauthorized
			 persons. Only authorized personnel shall have access to storage enclosures. Any
			 controlled substances and ethyl alcohol maintained on the premises shall be
			 stored under double locks and in accordance with applicable State and Federal
			 laws.
(3)
Controlled
			 Substances Permit
. If controlled substances are maintained in the
			 sleep disorders facility for patient use, appropriate permits shall be obtained
			 or maintenance and usage shall be under the controlled substances permit of the
			 prescribing physician.
(4)
Records
. If controlled substances are maintained and
			 used in the sleep disorder facility, records shall be maintained that account
			 for all items and received and administered.
(5)
Medication
			 Orders
. All oral or telephone orders for medication shall be
			 received by a licensed nurse or a physician and shall be reduced to writing on
			 the physician's order sheet with an indication as to the prescribing physician
			 and who wrote the order. Telephone or oral orders shall be signed by the
			 prescribing physician within 48 hours. Patients requiring prescription legend
			 drugs outside of the facility shall be given "a written prescription where
			 those drugs can be obtained from a licensed pharmacy, except in cases where the
			 sleep disorders facility has a licensed pharmacy on the premises."
(6)
Pharmacy
. If the
			 facility has a pharmacy, it shall meet the requirements of the Title 34,
			 Chapter 23, Practice of Pharmacy Act 205,
Code of Ala.
			 1975
.
(7)
Poisonous Substances
. All poisonous substances must be
			 plainly labeled and kept in a cabinet or closet separate from medicines and
			 drugs to be prepared for administration.
(8)
Emergency Kit or Emergency
			 Drugs
. Upon the advice and written approval of the facility's
			 medical director, an emergency kit or an emergency supply of drugs or medicines
			 may be maintained to be used by the physician in treating the emergency needs
			 of the patients. Those medications shall be stored in such a manner as to limit
			 its access to unauthorized personnel but in such a manner as to allow quick
			 retrieval. Records or usage must be maintained and periodic inventories
			 accomplished to prevent diversion.
(9)
Drug Referenced
			 Sources
. Each sleep disorders facility shall maintain reference
			 sources for identifying and describing drugs and medicines.
Author:
Statutory Authority:
Code of Ala.
				  1975
, Title 22, Chapter 21.