North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1000 - MEDICATIONS › Section 13F .1008 - CONTROLLED SUBSTANCES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult care
				  home shall assure a record of controlled substances by documenting the receipt,
				  administration, and disposition of controlled substances. These records shall
				  be maintained with the resident's record in the facility and in such an order
				  that there can be accurate reconciliation of controlled substances.
(b) Controlled substances may be stored
				  together in a common location or container. If Schedule II medications are
				  stored together in a common location, the Schedule II medications shall be
				  under double lock.
(c) Controlled
				  substances that are expired, discontinued, or no longer required for a resident
				  shall be returned to the pharmacy within 90 days of the expiration or
				  discontinuation of the controlled substance or following the death of the
				  resident. The facility shall document the resident's name; the name, strength
				  and dosage form of the controlled substance; and the amount returned. There
				  shall also be documentation by the pharmacy of the receipt or return of the
				  controlled substances.
(d) If the
				  pharmacy will not accept the return of a controlled substance, the
				  administrator or the administrator's designee shall destroy the controlled
				  substance within 90 days of the expiration or discontinuation of the controlled
				  substance or following the death of the resident. The destruction shall be
				  witnessed by a licensed pharmacist, dispensing practitioner, or designee of a
				  licensed pharmacist or dispensing practitioner. The destruction shall be
				  conducted so that no person can use, administer, sell, or give away the
				  controlled substance. Records of controlled substances destroyed shall include
				  the resident's name; the name, strength and dosage form of the controlled
				  substance; the amount destroyed; the method of destruction; and, the signature
				  of the administrator or the administrator's designee and the signature of the
				  licensed pharmacist, dispensing practitioner or designee of the licensed
				  pharmacist or dispensing practitioner.
(e) Records of controlled substances returned
				  to the pharmacy or destroyed by the facility shall be maintained by the
				  facility for three years.
(f)
				  Controlled substances that are expired, discontinued, prescribed for a deceased
				  resident, or deteriorated shall be stored securely in a locked area separately
				  from actively used medications until disposed of.
(g) A dose of a controlled substance
				  accidentally contaminated or not administered shall be destroyed at the
				  facility. The destruction shall be conducted so that no person can use,
				  administer, sell, or give away the controlled substance. The destruction shall
				  be documented on the medication administration record (MAR) or the controlled
				  substance record showing the time, date, quantity, manner of destruction, and
				  the initials or signature of the person destroying the substance.
(h) The facility shall ensure that all known
				  drug diversions are reported to the pharmacy, local law enforcement agency, and
				  Health Care Personnel Registry as required by State law, and that all suspected
				  drug diversions are reported to the pharmacy. There shall be documentation of
				  the contact and action taken.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Eff. July
					 1, 2005;
Readopted Eff. October 1,
					 2022.