Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-10 - Director of Pharmacy responsibilities

Current through Vol. 41, No. 20, July 1, 2024
(a)
Written procedures.
The
				Director of Pharmacy shall establish written procedures for the safe and
				efficient acquisition, distribution, storage, and utilization of pharmaceutical
				products with any of the federal legends such as "Rx Only" and medications
				administered or used in the hospital system. Such procedures shall be annually
				reviewed and a current copy shall be on hand for Board inspection.
(b)
General responsibilities.
The
				Director of Pharmacy shall be responsible for the safe and efficient
				purchasing, acquisition, monitoring, distribution, control, security, and
				accountability of all drugs including, but not limited to, federal legend drug
				products used in diagnostic procedures, I.V. fluids, or contained in supply
				kits. The other professional staff of the hospital facility shall cooperate
				with the Director in meeting this responsibility. The Director shall be
				responsible for, at a minimum, the following:
(1) Preparing and sterilizing sterile
				compounded preparations prepared within the hospital facility.
(2) Admixing sterile compounded preparations
				including education and training of nursing personnel concerning
				incompatibility and provision of proper incompatibility information when the
				admixture of sterile compounded preparations is not accomplished within the
				hospital pharmacy.
(3) Preparing
				drug products including unit dose.
(4) Establishing specifications for
				procurement of all materials, including drugs, chemicals and biologicals used
				within pharmacy practice, subject to approval of the appropriate committee of
				the hospital facility.
(5)
				Participating in the development and maintenance of a formulary for use within
				the hospital facility.
(6) Filling
				and dispensing all drugs which are to be administered within the hospital
				facility.
(7) Maintaining and
				making available a sufficient inventory of pharmaceuticals, including antidotes
				and other emergency drugs, for use within the hospital facility. In addition,
				current references, antidote information, and telephone numbers of regional
				reference centers such as Poison Centers and Drug Information Centers shall be
				maintained and readily available throughout the hospital.
(8) Maintaining records of all transactions
				of the hospital pharmacy required by applicable local, state, and federal law,
				and necessary to maintain accurate control and accountability for all
				pharmaceutical materials.
(9)
				Participating in those aspects of the hospital facility's patient care
				evaluation programs that relate to pharmaceutical material utilization and
				effectiveness.
(10) Cooperating
				fully with teaching and/or research programs in the hospital facility, if
				any.
(11) Implementing the policies
				and decisions of the appropriate committees of the hospital, which deal with
				drug distribution and drug utilization.
(12) Meeting all inspection and other
				requirements of the Act, and the rules and regulations governing the practice
				of pharmacy within a hospital facility.
(13) Establishing guidelines for the safe and
				effective distribution of drugs intended for floor stock, and their subsequent
				administration.
(14) Initial and
				continuing training of pharmacy technicians.