Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 350.1410 - 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 and shall be
				followed by the facility. These policies and procedures shall be in compliance
				with all applicable federal, State and local laws. 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
				350.1440.
				A licensed prescriber who supplies medication 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
				350.1620.
				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 Pharmacy
				Practice Act of 1987 [225 ILCS 85 ] and 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 emergency medication
				kits or convenience boxes, 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 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.