California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 8 - Intermediate Care Facilities for the Developmentally Disabled › Article 3 - Services › Section 76403 - Pharmaceutical Services-Labeling and Storage of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Containers which are cracked, soiled or
				  without secure closures shall not be used. Drug labels hall be
				  legible.
(b) All drugs obtained by
				  prescription shall be labeled in compliance with state and federal laws
				  governing prescription dispensing. No person other than the pharmacist shall
				  change any prescription label.
(c)
				  Nonlegend drugs shall be labeled in conformance with state and federal food and
				  drug laws.
(d) Test reagents,
				  germicides, disinfectants and other household substances shall be stored
				  separately from drugs and shall not be accessible to clients unless so
				  specified in the client's individual program plan.
(e) External use drugs in liquid, tablet,
				  capsule or powder form shall be stored separately from drugs for internal
				  use.
(f) Drugs required to be
				  stored at room temperature shall be stored at a temperature between 15°C
				  (59°F) and 30°C (86°F). Drugs requiring refrigeration shall be
				  stored in a refrigerator between 2°C (36°F) and 8°C (46°F).
				  When drugs are stored in the same refrigerator with food, the drugs shall be
				  kept in a closed container clearly labeled "drugs" or "medications."
(g) Drugs shall be stored in an orderly
				  manner in cabinets, drawers or carts of a size to prevent crowding.
(h) Dose preparation and administration areas
				  shall be well lighted. If medication carts are utilized, a light shall be
				  available on the cart.
(i) Drugs,
				  hypodermic syringes and needles shall be accessible only to the administrator,
				  pharmacist,physicians, licensed registered nurses, licensed vocational nurses
				  and psychiatric technicians except as provided in Section
				  76403(n) and (o).
				  Such access shall be designated in writing by the facility.
(j) Drugs shall not be kept in stock after
				  the expiration date on the label and no contaminated or deteriorated drugs
				  shall be available for use.
(k) The
				  drugs of each client shall be kept and stored in their originally received
				  containers. No drug shall be transferred between containers.
(l) Discontinued drug containers shall be
				  marked to indicate that the drug has been discontinued.
(m) Facilities shall dispose of irrigating
				  solutions in accordance with manufacturer's instruction or pharmacy label.
				  Facilities shall establish policies to prevent contamination of irrigating
				  solutions whose labels do not include expiration dates or instructions for
				  storage or disposal of remaining contents after initial use.
(n) Prescription medications of an emergency
				  nature may be stored at a client's bedside under the following conditions:
(1) On the specific order of a person
				  lawfully authorized to prescribe, when the order specifies the manner and
				  frequency of administration by the client, and
(2) The medication is of an emergency nature
				  which is to be administered sublingually or by inhalation, and
(3) The facility has established written
				  procedures by which the use of an emergency bedside medication is recorded in
				  the client's health record.
(4)
				  Such drugs shall be stored in a closed drawer or cupboard or be in the client's
				  possession.