Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart E - MEDICATIONS › Section 340.1670 - Labeling and Storage of Medication

Current through Register Vol. 48, No. 28, July 12, 2024
a) The label of each individual multi-dose
				medication container filled by a pharmacist shall clearly indicate the
				resident's full name; licensed presriber's name; prescription number, name,
				strength and quantity of drug; date this container was last filled; the
				initials of the pharmacist filling the prescription; the name and address of
				the pharmacy; and any necessary special instructions. If the individual
				multi-dose medication container is dispensed by a licensed prescriber from his
				or her own supply, the label shall clearly indicate all of the preceding
				information and the source of supply; it shall exclude identification of the
				pharmacy, pharmacist, and prescription number.
b) Each single unit or unit dose package
				shall bear the proprietary or nonproprietary name of the drug, strength of dose
				and total contents delivered, lot or control number, and expiration date, if
				applicable. The names of the resident and the licensed prescriber do not have
				to be on the label of the package, but they must be identified with the package
				in such a manner as to assure that the drug is administered to the right
				resident. Appropriate accessory and cautionary statements and any necessary
				special instruction shall be included, as applicable. Hardware for storing and
				delivering the medications shall be labeled with the identity of the dispensing
				pharmacy. The pharmacist shall provide written verification of the date the
				medications were dispensed and the initials of the pharmacist who reviewed and
				verified the medications. The pharmacist need not store such verification at
				the facility but shall readily make it available to the Department upon
				request. The lot or control number need not appear on unit dose packages if the
				dispensing pharmacy has a system for identifying those doses recalled by the
				manufacturer/distributor or if the dispensing pharmacy will recall and destroy
				all dispensed doses of a recalled medication, irrespective of a
				manufacturer's/distributor's specifically recalled lot.
c) Medication in containers having soiled,
				damaged, incomplete, illegible, or makeshift labels shall be returned to the
				issuing pharmacist, pharmacy, or dispensing licensed prescriber for relabeling
				or disposal. Medications whose directions for use have changed since the
				medication was originally dispensed and labeled may be retained for use at the
				facility in accordance with the licensed prescriber's current medication order.
				Medications in containers having no labels shall be destroyed in accordance
				with federal and State laws.
d) The
				medications of each resident shall be kept and stored in their originally
				received containers. Medications shall not be transferred between containers,
				except that a licensed nurse, acting as the agent of the resident, may remove
				previously dispensed medication from original containers and place it in other
				containers to be sent with a resident when the resident will be out of the
				facility at the time of scheduled administration of medication. When medication
				is sent out of the facility with the resident, it shall be labeled by the nurse
				with the name of the resident, name and strength of the medication,
				instructions for administration, and any other appropriate
				information.
e) All medications for
				external use shall be kept in a separate area in the medicine cabinet, medicine
				room, or mobile medication cart.
f)
				All poisonous substances and other hazardous compounds shall be kept in a
				separate locked container away from medications.
g) Biologicals or medications requiring
				refrigeration shall be kept in a separate, securely fastened locked box within
				a refrigerator or a locked refrigerator, at or near the nurses' station or in a
				refrigerator within a locked medication room.
h) The key or access code to the medicine
				cabinet, medicine room, or mobile medication cart shall be the responsibility
				of, and in the possession of, the persons authorized to handle and administer
				medications, at all times.
i) All
				medications for all residents shall be properly labeled and stored at, or near,
				the nurses' station, in a locked cabinet, a locked medication room, or one or
				more locked mobile medication carts of satisfactory design for such storage.
1) These cabinets, rooms, and carts shall be
				well lighted and of sufficient size to permit storage without
				crowding.
2) All mobile medication
				carts shall be under the visual control of the responsible nurse at all times
				when not stored safely and securely.