Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 52 - MINIMUM STANDARDS FOR CHEMICAL DEPENDENCY UNITS › Subchapter 18 - SUPPORT SERVICES: PHARMACY › Rule 15-16-1-52.18.13 - Medication Control

Current through June 25, 2024
The facility shall have written policies and procedures
						designed to ensure that all medications are dispensed and administered safely
						and properly in accordance with the applicable federal, state, and local laws
						and regulations.
1. Medication orders
					 shall be written only by authorized prescribers.
2. An up-to-date list of authorized
					 prescribers shall be available in all areas where medication is
					 dispensed.
3. Telephone orders
					 shall be accepted only from individuals on the list of authorized
					 prescribers.
4. Telephone orders
					 shall be limited to emergency situations that have been defined in writing in
					 the facility's policies and procedures manual.
5. Telephone orders shall be accepted and
					 written in the patient's record only by staff authorized to administer
					 medication.
6. Telephone orders
					 shall be signed by an authorized prescriber on the next regular working day,
					 but in all events within 72 hours.
7. A written order signed by the authorized
					 prescriber shall be included in patient's record.
8. Medication orders that contain
					 abbreviations and chemical symbols shall be carried out only if the
					 abbreviations and symbols are on a standard list approved by the physician
					 members of the professional staff.
9. There shall be automatic stop orders on
					 specified medications. Refer to Rule 52.18.5.
10. There shall be a specific routine of drug
					 administration, indicating dose schedules and standardization of
					 abbreviations.
11. Only
					 pharmacists, physicians, registered nurses, or licensed practical nurses shall
					 administer medications.
12.
					 Self-administration of medication shall be permitted only when specifically
					 ordered by the responsible physician.
13. Drugs brought into the facility by
					 patients shall not be administered unless they can be absolutely identified,
					 and unless written orders to administer these specific drugs are given by the
					 responsible physician. If the drugs that the patient brings to the facility are
					 not to be used, they shall be packaged, sealed, and stored, and, if approved by
					 the responsible physician, they shall be returned to the patient, family, or
					 significant others at the time of discharge.
14. The patient and, when appropriate, the
					 family shall be instructed about which medications if any, are to be
					 administered at home.
15.
					 Medications administered, medication errors, and adverse drug reactions shall
					 be documented in the patient's record.
16. Facilities should implement a reporting
					 system under which the reporting program of the federal Food and Drug
					 Administration and the drug manufacturer are advised of unexpected adverse drug
					 reactions.
17. There shall be
					 methods of detecting drug side effects of toxic reactions.
18. Investigational drugs shall be used only
					 under the direct supervision of the principal investigator and with the
					 approval of research review committee and either the physician members of the
					 professional staff or an appropriate committee of the professional
					 staff.
19. A central unit shall be
					 established where essential information on investigational drugs, such as
					 dosage form, dosage range, storage requirements, adverse reactions, usage, and
					 contraindications, is maintained.
20. Investigational drugs shall be properly
					 labeled.
21. Nurses may administer
					 investigational drugs only after receiving basic pharmacologic information
					 about the drugs.
22. The facility
					 shall have specific methods for controlling and accounting for drug
					 products.
23. The pharmacy service
					 shall maintain records of its transactions as required by law and as necessary
					 to maintain adequate control of, and accountability for, all drugs.
24. These records shall document all supplies
					 issued to units, departments, or services of the facility, as well as all
					 prescription drugs dispensed.
25.
					 Records and inventories of the drugs listed in the current Comprehensive Drug
					 Abuse Prevention and Control Act shall be maintained as required by the act and
					 regulations.
26. Distribution and
					 administration of controlled drugs are adequately documented, and inspections
					 of these records by the pharmacist is documented.
Miss. Code Ann.
						§
												41-9-17