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 .1010 - PHARMACEUTICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult care
				  home shall allow the residents the right to choose a pharmacy provider as long
				  as the pharmacy provides services that are in accordance with requirements of
				  this Section, all applicable State and federal rules and regulations, and the
				  facility's medication management policies and procedures.
(b) There shall be a current, written
				  agreement with a licensed pharmacist or a prescribing practitioner for
				  pharmaceutical care services in accordance with Rule.1009 of this Section. The
				  written agreement shall include a statement of the responsibility of each
				  party.
(c) The facility shall
				  assure the provision of pharmaceutical services to meet the needs of the
				  residents including procedures that assure the accurate ordering, receiving,
				  and administering of all medications prescribed on a routine, emergency, or as
				  needed basis.
(d) The facility
				  shall assure the provision of medication for residents on temporary leave from
				  the facility or involved in day activities out of the facility. The facility
				  shall have written policies and procedures for a resident's temporary leave of
				  absence. The policies and procedures shall facilitate safe administration by
				  assuring that upon receipt of the medication for a leave of absence the
				  resident or the person accompanying the resident is able to identify the
				  medication, dosage, and administration time for each medication provided for
				  the temporary leave of absence. The policies and procedures shall include the
				  following provisions:
(1) The amount of
				  resident's medications provided shall be sufficient and necessary to cover the
				  duration of the resident's absence. For the purposes of this Rule, sufficient
				  and necessary means the amount of medication to be administered during the
				  leave of absence or only a current dose pack, card, or container if the current
				  dose pack, card, or container has enough medication for the planned
				  absence;
(2) written and verbal
				  instructions for each medication to be released for the resident's absence
				  shall be provided to the resident or the person accompanying the resident upon
				  the medication's release from the facility and shall include:
(A) the name and strength of the
				  medication;
(B) the directions for
				  administration as prescribed by the resident's physician; and
(C) any cautionary information from the
				  original prescription package if the information is not on the container
				  released for the leave of absence;
(3) the resident's medication shall be
				  provided in a capped or closed container that will protect the medications from
				  contamination and spillage; and
(4)
				  labeling of each of the resident's individual medication containers for the
				  leave of absence shall be legible, include at least the name of the resident
				  and the name and strength of the medication, and be affixed to each
				  container.
The facility shall maintain documentation in the resident's
					 record of medications provided for the resident's leave of absence, including
					 the quantity released from the facility and the quantity returned to the
					 facility. The documentation of the quantities of medications released from and
					 returned to the facility for a resident's leave of absence shall be verified by
					 signature of the facility staff and resident or the person accompanying the
					 resident upon the medications' release from and return to the
					 facility.