Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 6 - Hospice Inpatient Service Requirements › Section 310:661-6-5 - Pharmaceutical services

Current through Vol. 41, No. 20, July 1, 2024
(a) The hospice
				inpatient facility must provide appropriate methods and procedures for
				dispensing and administering drugs and biologicals. Whether drugs and
				biologicals are obtained from community or institutional pharmacies or
				maintained and stocked by the facility, the facility is responsible for the
				pharmaceutical services and ensure services are provided in accordance with
				accepted professional standards of practice in compliance with Federal, State,
				and local laws.
(b) Each facility
				must employ or contract with a licensed pharmacist to supervise services and
				ensure drugs and biologicals are obtained, stored, administered and disposed of
				as required by Federal and State law.
(c) A physician or licensed independent
				practitioner must order all medications for each patient. If the physician or
				practitioner's order is verbal, the physician or practitioner must give the
				order to a licensed nurse or other individual authorized by State law to
				receive the order. The individual receiving the order must record and sign the
				order immediately and have the prescribing physician or practitioner sign as
				soon as possible in a manner consistent with good medical practice. Another
				covering or attending physician or practitioner may sign another physician or
				practitioner's verbal order if the facility allows this practice and specific
				procedures are approved by the governing body to permit the practice. If a
				covering or attending physician or practitioner authenticates the ordering
				physician or practitioner's verbal order, such an authentication indicates that
				the covering or attending physician or practitioner assumes responsibility for
				his or her colleague's order and verifies the order is complete, accurate,
				appropriate, and final.
(d) Drugs
				and biologicals must be administered only by a physician, licensed nurse, an
				individual authorized by State law to administer, or the patient if his or her
				attending physician has approved.
(e) The pharmaceutical service must have
				procedures for control and accountability of all drugs and biologicals in the
				facility. Drugs are dispensed in compliance with Federal and State law. Records
				of receipt and disposition of all controlled drugs are maintained in sufficient
				detail to enable an accurate reconciliation. The pharmacist must ensure the
				drug records are in order and that an account of all controlled drugs is
				maintained and reconciled.
(f) The
				labeling of drugs and biologicals is based on currently accepted professional
				principles in compliance with State law, and includes the appropriate accessory
				and cautionary instructions, as well as the expiration date and lot number when
				applicable.
(g) All drugs and
				biologicals must be stored in locked compartments under proper temperature
				controls. Only authorized personnel must have access. Separately locked
				compartments must be provided for storage of Schedule II controlled drugs. All
				stores of Schedule II drugs not individually dispensed to a patient must be
				accounted for at regular intervals to ensure the drugs are not
				diverted.
(h) If the facility only
				maintains drugs and biologicals by individual patient prescription, an
				emergency medication kit approved by the Medical advisor must also be
				maintained.
(i) Controlled drugs no
				longer needed by the patient must be disposed of in compliance with Federal and
				State requirements. The pharmacist and a facility registered nurse or two (2)
				facility registered nurses must document disposal and maintain a
				record.
Added at 21 Ok Reg 1303,
				  eff 5-27-04; Amended at 26 Ok Reg 2042, eff
				  6-25-091
1When published in the
				  Register, these permanent amendments to this Section (310:661-6-5) were
				  incorrectly numbered as amendments to 310:661-6-7. This error was editorially
				  corrected, and the amendments were codified as amendments to the correct number
				  (310:661-6-5).