Kansas Administrative Regulations › Agency 68 - KANSAS STATE BOARD OF PHARMACY › Article 7 - MISCELLANEOUS PROVISIONS › Section 68-7-11 - Medical care facility pharmacy

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of pharmaceutical services within a medical care
				facility pharmacy shall meet the following requirements:
(a) The pharmacist-in-charge shall be
			 responsible for developing programs and supervising all personnel in the
			 distribution and control of drugs and all pharmaceutical services in the
			 medical care facility.
(b) The
			 pharmacist-in-charge shall develop a policy and procedure manual governing the
			 storage, control, and distribution of drugs within the medical care facility.
			 The pharmacist-in-charge shall submit the policy and procedure manual for
			 approval to the pharmacy and therapeutics committee or an equivalent committee
			 governing the security, control, and distribution of drugs within the
			 facility.
(c) The
			 pharmacist-in-charge shall be responsible for the maintenance of all emergency
			 medication kits.
(d) The
			 pharmacist-in-charge shall be responsible for developing procedures for the
			 distribution and control of drugs within the medical care facility when a
			 pharmacist is not on the premises. These procedures shall be consistent with
			 the following requirements:
(1) Drugs may be
			 obtained upon a prescriber's medication order for administration to the
			 inpatient by a physician's assistant, designated registered professional nurse,
			 or nurses with approval and supervision of the pharmacist-in-charge. Adequate
			 records of these withdrawals shall be maintained.
(2)
(A) An
			 interim supply of prepackaged drugs shall be supplied to an outpatient on an
			 emergency basis only by a designated registered professional nurse or nurses
			 pursuant to a prescriber's medication order when a pharmacist is not on the
			 premises and a prescription cannot be filled. The interim supply shall be
			 labeled in accordance with
			 K.A.R.
			 68-7-14.
(B) The interim supply shall be limited in
			 quantity to an amount sufficient to supply the outpatient's needs until a
			 prescription can be filled. Adequate records of the distribution of the interim
			 supply shall be maintained and shall include the following information:
(i) The original or a copy of the
			 prescriber's order or, if an oral order, a written record prepared by a
			 designated registered professional nurse or nurses that reduces the oral order
			 to writing. The written record shall be signed by the designated registered
			 professional nurse or nurses and the prescriber; and
(ii) the name of the patient; the date
			 supplied; the drug or device, strength, and quantity distributed; directions
			 for use; the prescriber's name; and, if appropriate, the DEA
			 number.
(3) The
			 designated registered professional nurse or physician's assistant may enter the
			 medical care facility pharmacy and remove properly labeled pharmacy stock
			 containers, commercially labeled packages, or properly labeled prepackaged
			 units of drugs. The registered professional nurse or physician's assistant
			 shall not transfer a drug from one container to another for future use, but may
			 transfer a single dose from a stock container for immediate administration to
			 the ultimate user.