North Dakota Administrative Code › Title 61 - Pharmacy, Board of › Article 61-03 - Pharmacists › Chapter 61-03-02 - Consulting Pharmacist Regulations for Long-Term Care Facilities (Skilled, Intermediate, and Basic Care) › Section 61-03-02-02 - Absence of provider or consulting pharmacist

Current through Supplement No. 393, July, 2024
1.
General.
During such time at the long-term care facility that the
						pharmacist is not available, arrangements shall be made in advance by the
						consulting and provider pharmacist for provision of drugs to the staff of the
						institutional facility by use of an emergency medication kit located at the
						facility.
2.
Emergency
						medication kit.
a. Emergency
						medications defined. Emergency medications are those medications which may be
						required to meet the immediate therapeutic needs of patients and which are not
						available from any other authorized source in sufficient time to prevent risk
						of harm to patients because of delay resulting from obtaining such medications
						from such other source.
b. Supply
						pharmacist. All emergency medications shall be provided by a provider
						pharmacist.
c. Medications
						included. The consulting pharmacist and the physicians representing the
						facility shall jointly determine and prepare a list of medications, by identity
						and quantity, to be included in such emergency supply. Such list of medications
						shall be reviewed quarterly by the pharmaceutical services committee. Only
						prepackaged drugs shall be available therein, in amounts sufficient for
						immediate therapeutic requirements.
d. Storage. The emergency medication kit
						shall be stored in areas suitable to prevent unauthorized access and to ensure
						a proper environment for preservation of the medications within them, as
						required in official compendia.
e.
						Labeling - Exterior. The exterior of an emergency kit shall be labeled to
						clearly and unmistakably indicate that it is an emergency drug kit and it is
						for use in emergencies only; such label shall also contain a listing of the
						name, strength, and quantity of the drugs contained therein and an expiration
						date.
f. Labeling - Interior. All
						drugs contained in the emergency medication kit shall be labeled in accordance
						with subsection 7 of North Dakota Century Code section 43-15-01.
g. Removal of medication. Medications shall
						be removed from the emergency medication kit only pursuant to a valid
						prescriber order and by authorized personnel, or by the provider pharmacist.
h. Notifications. Whenever an
						emergency medication kit is opened or has expired, the provider pharmacist
						shall be notified and the pharmacist shall replace the medication within a
						reasonable time so as to prevent risk of harm to the patients.
i. Expiration date. The expiration date of an
						emergency kit shall be the earliest expiration date on any drug supplied in the
						kit. Upon the occurrence of the expiration date, the provider pharmacist shall
						open the kit and replace expired drugs.
j. Procedures. The consulting pharmacist
						shall, in communication with the appropriate committee, develop and implement
						written policies and procedures to ensure compliance.