Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-4 - MINIMUM STANDARDS FOR NURSING HOMES › Section 59A-4.112 - Pharmacy Services

Current through Reg. 50, No. 138; July 16, 2024
(1) The nursing home
				licensee must adopt procedures that assure the accurate acquiring, receiving,
				dispensing, and administering of all drugs and biologicals, to meet the needs
				of each resident.
(2) As required
				by the Department of Health, the facility shall employ, or obtain, the services
				of a state licensed consultant pharmacist. A consultant pharmacist is a
				pharmacist who is licensed by the Department of Health, Board of Pharmacy and
				registered as a consultant pharmacist by the Board of Pharmacy in accordance
				with Rules 64B16-26.300 and
				64B16-28.501, F.A.C., and who
				provides consultation on all aspects of the provision of pharmacy services in
				the facility.
(3) The consultant
				pharmacist must establish a system to accurately record the receipt and
				disposition of all controlled drugs in sufficient detail to enable an accurate
				reconciliation.
(4) The consultant
				pharmacist must determine that drug records are in order and that an account of
				all controlled drugs is maintained and periodically reconciled.
(5) Prescription drugs and biologicals used
				in the facility shall be labeled in accordance with currently accepted
				professional principles, Chapter 499, F.S. and Rules
				64B16-28.108 and
				64B16-28.502, F.A.C., as
				required by the Department of Health.
(6) Prescription drugs and non-prescription
				medications requiring refrigeration must be stored in a refrigerator. The
				refrigerator must be locked or located within a locked medication room and
				accessible only to licensed staff.
(7) All controlled substances must be
				disposed of as required by the Department of Health, Rule
				64B16-28.303, F.A.C. All
				non-controlled substances may be destroyed in accordance with the facility's
				policies and procedures. Records of the disposition of all substances shall be
				maintained in sufficient detail to enable an accurate reconciliation and a copy
				of the disposition must be filed in the resident's record or maintained
				electronically in a readily accessible format.
(8) Non-controlled substances, in unit dose
				containers, may be returned to the dispensing pharmacy.
(9) If ordered by the resident's physician,
				the resident or his or her representative may, upon discharge, take all current
				prescription drugs with him or her. An inventory list of the drugs released
				must be completed, shall be dated, and signed by both the person releasing the
				drugs and the person receiving the drugs, and must be placed in the resident's
				record.
(10) The facility shall
				maintain an Emergency Medication Kit. The kit must contain a limited supply of
				medications in the facility for use during emergency or after-hours situations.
				The contents must be determined by the residents' needs in consultation with
				the Medical Director, Director of Nursing and Pharmacist and it must be in
				accordance with facility policies and procedures. The kit must be readily
				available and kept sealed. All items in the kit must be properly labeled. The
				licensee must maintain an accurate log of receipt and disposition of each item
				in the Emergency Medication Kit. An inventory of the contents of the Emergency
				Medication Kit must be attached to the outside of the kit, which must include
				the earliest expiration date of the kit drugs. If the seal is broken, the kit
				must be restocked and resealed the next business day after
				use.
Rulemaking Authority 400.23, 400.142 FS. Law Implemented
					 400.141, 400.142, 400.23 FS.
New 4-1-82, Amended 4-1-84, 7-10-91, Formerly 10D-29.112,
					 Amended 4-18-94, 12-21-15.