reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 3 - Pharmacies › Section 535:15-3-16 - Adequate staffing rules for pharmacists and pharmacies

Current through Vol. 41, No. 20, July 1, 2024
(a) Adequate staffing to safely fill
				prescriptions is the responsibility of the pharmacy, the pharmacy manager, and
				the pharmacist. If conditions exist that could cause prescriptions to be filled
				in an unsafe manner, each shall take action to correct the problem.
(b) In order to ensure adequate staffing
				levels a staffing form shall be available in each pharmacy. A copy of this
				form, when executed, will be given to the immediate supervisor and a copy must
				remain in the pharmacy for Board inspection.
(1) Such form shall include, but not be
				limited to the following:
(A) Date and time
				the inadequate staffing occurred,
(B) Number of prescriptions filled during
				this time frame,
(C) Summary of
				events, and
(D) Any comments or
				suggestions.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 3 - Pharmacies › Section 535:15-3-17 - Pharmacy prescription records

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				original prescription [as defined in 353.1] shall be maintained and readily
				retrievable for five years.
(b)
				Faxed prescriptions received in electronic format (which have not been printed)
				or electronically transmitted prescriptions may be electronically stored and
				maintained in a readily retrievable format for five years.
(c) Prescriptions for controlled dangerous
				substances (CDS) must additionally meet the requirements of the federal Drug
				Enforcement Administration (DEA) and the Oklahoma Bureau of Narcotics and
				Dangerous Drugs (OBNDD).
Added at 14 Ok Reg 3024,
				  eff 7-1-97; Amended at 17 Ok Reg 2626, eff 7-1-00; Amended at 29 Ok Reg 1641,
				  eff 7-12-12
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 3 - Pharmacies › Section 535:15-3-18 - Pharmacy prescription drug purchase records

Current through Vol. 41, No. 20, July 1, 2024
(a) All prescription purchases (e.g.
				invoices, etc.) and inventory records shall be maintained and be readily
				retrievable for a period of at least 2 years. Invoices for non-controlled drugs
				may be maintained electronically.
(b) A pharmacist and/or pharmacy shall
				exercise careful professional judgment regarding where they purchase the
				pharmacy's drugs to assure a safe and sanitary drug supply is maintained.
				Prescription drug purchases may only be made from entities licensed to sell
				such drugs.
Reserved at 14 Ok Reg
				  3024, eff 7-1-97; Added at 24 Ok Reg 2257, eff
				  7-1-07
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 3 - Pharmacies › Section 535:15-3-19 - Three prescription files

Current through Vol. 41, No. 20, July 1, 2024
Three prescriptions files will be kept as follows:
(1) Dangerous Drugs file,
(2) Controlled Dangerous Substances (CDS) -
				Schedule II's file, and
(3)
				Controlled Dangerous Substances (CDS) - Schedule Ill's, IV's, V's
				file.
Added at 14 Ok Reg 3024,
				  eff 7-1-97
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 3 - Pharmacies › Section 535:15-3-21 - Prescription fill, refill and partial fill records and reports

Current through Vol. 41, No. 20, July 1, 2024
(a)
Dangerous drugs.
(1) Refills may be entered on the back of
				each original prescription.
(2)
				Refill records may be kept by using an automated data processing system to
				maintain the refill information.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 3 - Pharmacies › Section 535:15-3-22 - Pharmacy refrigerator and freezer temperature logs

Current through Vol. 41, No. 20, July 1, 2024
(a) All refrigerators and freezers used to
				store medications shall have a sensor or thermometer capable of reading
				internal temperatures.
(b) The
				internal temperatures maintained in the refrigerators and freezers shall be
				appropriate for the products stored.
(c) Temperatures in refrigerators and
				freezers shall be logged twice daily (AM and PM) on days the pharmacy is open
				for business or shall have continuous temperature monitoring.
(1) Pharmacy name, date, time, temperature
				and staff person taking reading shall be logged at a minimum for paper
				logs.
(2) Temperature logs shall be
				maintained on paper or electronically for two years and be available for
				inspection.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 3 - Pharmacies › Section 535:15-3-23 - Board of Pharmacy inspections

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				Board's qualified designee may inspect all aspects of the management and
				operation of all pharmacies licensed by the state of Oklahoma.
(b) This allows verification of compliance
				with the law, the State Board of Pharmacy regulations, and such other standards
				as may be appropriate to insure that the health, safety and welfare of patients
				serviced by the pharmacy.
(c) Any
				discrepancies or deficiencies noted at inspection shall be corrected.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 4 - Remote Medication Order Processing (RMOP) and RMOP Pharmacy for Hospital Pharmacies › Section 535:15-4-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) The rules of this Subchapter, as
				authorized under 59 O.S. Section
				353.7,
				353.20,
				and
				353.24,
				establish the rules for Oklahoma licensed hospitals to employ remote medication
				order processing (RMOP) and provide for the designation and registration of a
				remote medication order processing pharmacy.
(b) The rules of this Subchapter do not
				relieve the licensed hospital pharmacy, the licensed hospital drug room, the
				pharmacy manager or director of pharmacy from their responsibilities under the
				Oklahoma laws and rules.
Added at 27 Ok Reg 2256,
				  eff 7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 4 - Remote Medication Order Processing (RMOP) and RMOP Pharmacy for Hospital Pharmacies › Section 535:15-4-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this Subchapter,
				  shall have the following meaning, unless the context clearly indicates
				  otherwise:
"Contract employee"
means any person who
				  performs services for a hospital, and whose compensation may or may not be
				  reflected on the payroll records of a hospital, hospital pharmacy, or remote
				  medication order processing pharmacy.
"Remote medication order processing"
or
"RMOP"
means the processing of a medication order for a hospital
				  facility by a pharmacist located in a remote medication order processing
				  pharmacy site. Remote medication order processing does not include the
				  dispensing of a drug, but may include receiving, interpreting, evaluating,
				  clarifying and approval of medication orders. Additionally, remote medication
				  order processing may include order entry, other data entry, performing
				  prospective drug utilization review, interpreting clinical data, performing
				  therapeutic interventions, and providing drug information services, and
				  authorizing release of the medication for administration.
"Remote medication order processing pharmacy"
means a pharmacy which does not stock, own, or dispense any prescription
				  medications, and whose sole business consists of entry and/or review and/or
				  verification of physicians orders and consulting services under contract for
				  hospitals licensed in Oklahoma or any other state; and which provide services
				  under the direction of a pharmacist in charge or PIC, licensed by the
				  Board.
"Remote pharmacist"
means any person licensed to
				  practice pharmacy by the Board, either employed or a contract employee of a
				  hospital, hospital pharmacy, or remote medication order processing pharmacy,
				  processing the medication order from a remote site.
"Remote site"
means a site located within the
				  continental United States (US) or District of Columbia (DC) that is
				  electronically linked to the hospital via a computer and/or other electronic
				  communications system as defined in the operations, policies and procedures
				  manual of a hospital pharmacy, hospital drug room or remote medication order
				  processing pharmacy for the purposes of remote medication order
				  processing.
Added at 27 Ok Reg 2256,
				  eff 7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 4 - Remote Medication Order Processing (RMOP) and RMOP Pharmacy for Hospital Pharmacies › Section 535:15-4-3 - Registration

Current through Vol. 41, No. 20, July 1, 2024
All remote medication order processing pharmacies shall be
				  licensed with the Board. The fee per year for remote medication order
				  processing pharmacies shall be set by the Board. Licenses shall be issued only
				  to those remote medication order processing pharmacies that satisfy the
				  provisions of this Subchapter.
Added at 27 Ok Reg 2256,
				  eff 7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 4 - Remote Medication Order Processing (RMOP) and RMOP Pharmacy for Hospital Pharmacies › Section 535:15-4-4 - Staffing requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) The pharmacist
				in charge (PIC) shall be assisted by a sufficient number of additional Oklahoma
				licensed remote pharmacists to operate such a remote medication order
				processing pharmacy competently, safely, and adequately to meet the needs of
				the patients of the hospitals served.
(b) The remote medication order pharmacy,
				pharmacist manager or pharmacist in charge (PIC) shall notify the Board, in
				writing, within 10 days of any change of employment of remote pharmacists. This
				does not remove the requirement that such pharmacist notify within ten days in
				writing of a change of employment.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 4 - Remote Medication Order Processing (RMOP) and RMOP Pharmacy for Hospital Pharmacies › Section 535:15-4-5 - Responsibilities and duties of RMOP pharmacies and pharmacy manager [pharmacist in charge (PIC's)]

Current through Vol. 41, No. 20, July 1, 2024
Responsibilities of the PIC and the remote medication order
				  processing pharmacy include:
(1)
Written policies and procedures and operation manuals.
The remote
				medication order processing pharmacy and PIC shall establish a written policy
				and procedure manual for the RMOP operation, including but not limited to:
(A) Complying with federal and state laws and
				regulations;
(B) Establish and
				maintain minimum technical standards and specifications, e.g. RMOP processes,
				passwords, encryption and firewalls;
(C) Establish and maintain procedures for
				handling computer system or connectivity downtime;
(D) Establish and maintain confidentiality,
				privacy, and security to meet HIPAA standards;
(E) Establish and maintain pharmacist
				training, orientation and competencies;
(F) Establish and maintain workload balancing
				and staffing levels e.g. when will RMOP be triggered and how will workload or
				staff balancing be done;
(G)
				Establish and maintain access to either hard-copy or online references as
				described in
				535:15-5-9(1)
				(B) and
				535:15-5-9(1)
				(C);
(H) Establish and maintain
				hospital staff training and orientation to the remote medication order process;
(I) Establish and maintain a
				process that documents issues or problems which includes issue escalation and
				problem resolution to resolve such;
(J) Establish and maintain on-call assistance
				and communication between the hospital and remote site personnel;
(K) Establish and maintain internal quality
				assurance and medication error reporting systems;
(L) Clarification of medication orders;
(M) Establish and maintain access
				to Hospital policy resources, policies and procedures;
(N) Establish and maintain records and
				reports; and,
(O) Establish and
				maintain annual review of the remote medication order processing and
				documentation.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 4 - Remote Medication Order Processing (RMOP) and RMOP Pharmacy for Hospital Pharmacies › Section 535:15-4-6 - Governing body

Current through Vol. 41, No. 20, July 1, 2024
The pharmacy and pharmacist will recognize the Board as the
				  governing body of the practice of pharmacy and any violations of pharmacy laws
				  or rules that may come to the attention of the pharmacy and/or pharmacist must
				  be reported to the Board.
Added at 27 Ok Reg 2256,
				  eff 7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 4 - Remote Medication Order Processing (RMOP) and RMOP Pharmacy for Hospital Pharmacies › Section 535:15-4-7 - Unlawful acts and violations

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Unlawful acts and violations are described in the Oklahoma Pharmacy Act and
				this Title.
(b) Remote medication
				order processing pharmacy rules for conduct, violations of conduct and rules
				for applicants are found in 535:25.
(c) Rules for conduct and violations of
				conduct for pharmacists are found in
				535:10-3-1.1,
				535:10-3-1.2,
				535:15-3-2,
				535:15-3-4.2;
				and rules for applicants are found in 535:25.
(d) Remote medication order processing
				pharmacies are subject to rules in 535:15-3 unless they clearly do not apply to
				RMOP pharmacies.
(e) Penalties for
				violations of this Title, the Oklahoma Pharmacy Act and federal and state laws
				and rules are listed in 59 O.S. Section
				353.26.
Added at 27 Ok Reg 2256,
				  eff 7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules of this Subchapter are to accomplish the purposes
				  of the Oklahoma Pharmacy Act, as specified in 59 O.S., Section 353.18(A), by
				  implementing the rules and regulations of a licensed hospital pharmacy and a
				  drug room, and as specified in 59 O.S., Section 353.29 by implementing rules
				  regarding supportive personnel.
Amended at 11 Ok Reg
				  545, eff 11-3-93 (emergency); Amended at 11 Ok Reg 3431, eff 6-27-94; Amended
				  at 20 Ok Reg 2982, eff 9-2-03 (emergency); Amended at 20 Ok Reg 2479, eff
				  1-1-04; Amended at 21 Ok Reg 2452, eff
				  7-1-04
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-3 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
The rules of this Subchapter are applicable to all hospitals
				  and hospital pharmacies, as defined by
				  535:15-5-2 and may,
				  if specified, apply to drug rooms. Compliance with the rules of this Subchapter
				  is the responsibility of the hospital pharmacy, and the Director of Pharmacy,
				  and may be for the individual pharmacist employed in the hospital
				  pharmacy.
Amended at 11 Ok Reg
				  3431, eff 6-27-94; Amended at 18 Ok Reg 2738, eff 7-1-01; Amended at 27 Ok Reg
				  2249, eff 7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-4 - Registration

Current through Vol. 41, No. 20, July 1, 2024
(a)
Registration.
All hospital
				pharmacies shall register annually with the Board of Pharmacy; hospital
				pharmacy licenses shall be issued only to those hospital pharmacies that
				satisfy the provisions of Section 353.18(A) of the Oklahoma Pharmacy Act, and
				all rules of this Title.
(b)
Minimum hours.
A hospital pharmacy shall be staffed with licensed
				pharmacist and be open for a minimum of four days a week and for a minimum of
				at least 32 hours per week to the standards listed in
				535:15-5-10(j).
Amended at 11 Ok Reg
				  545, eff 11-3-93 (emergency); Amended at 11 Ok Reg 3431, eff 6-27-94; Amended
				  at 18 Ok Reg 2738, eff 7-1-01; Amended at 27 Ok Reg 2249, eff
				  7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-5 - Director and pharmacy manager

Current through Vol. 41, No. 20, July 1, 2024
(a) Each
				hospital pharmacy shall be directed by a pharmacist, hereinafter referred to as
				the Director of Pharmacy. The Director of Pharmacy shall be responsible for all
				activities of the hospital pharmacy, and for meeting the requirements of the
				Oklahoma Pharmacy Act and the rules of this Title.
(b) A hospital pharmacy manager's
				responsibilities are the same as those set out in Section
				535:15-3-2
				and the rules of this Subchapter.
(c) When the Director of Pharmacy and the
				pharmacy manager are separate individuals and the pharmacy manager is under the
				direction of the Director of Pharmacy, both individuals will be cited when
				action is taken against the pharmacy and/or the pharmacy manager.
Amended at 9 Ok Reg
				  2141, eff 6-11-92; Amended at 14 Ok Reg 3024, eff 7-1-97; Amended at 18 Ok Reg
				  2738, eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-6 - Staff pharmacists [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 18 Ok Reg
				  2738, eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7 - Supportive personnel

Current through Vol. 41, No. 20, July 1, 2024
The rules from
				  535:15-5-7.1
				  through
				  535:15-5-7.12,
				  et seq. describe the rules for pharmacy supportive personnel in a licensed
				  hospital pharmacy facility and may include references to the rules in
				  535:15-13, and other rules of this Title.
Amended at 11 Ok Reg
				  545, eff 11-3-93 (emergency); Amended at 11 Ok Reg 3431, eff 6-27-94; Amended
				  at 18 Ok Reg 2738, eff 7-1-01; Amended at 20 Ok Reg 2982, eff 9-2-03
				  (emergency); Amended at 21 Ok Reg 2452, eff
				  7-1-04
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.1 - Pharmacy technician qualifications and training

Current through Vol. 41, No. 20, July 1, 2024
(a) A pharmacy technician must have completed
				a high school education or G.E.D. equivalence, be of good moral character, be
				non-impaired (e.g. alcohol or drugs) and have adequate education to perform
				assigned duties.
(b) The pharmacy
				technician must, at a minimum, satisfactorily complete a pharmacy technician
				on-the-job training (OJT) program as described in
				535:15-13-13.
(c) The Director of Pharmacy must demonstrate
				that the pharmacy technician has been given additional training before being
				allowed to prepare sterile products and that the training given is at a level
				consistent with the scope of pharmaceutical product being prepared.
(d) A pharmacy technician, to be eligible for
				a technician permit, must comply with the requirements in this Title and
				535:25.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.2 - Supervision of pharmacy technicians

Current through Vol. 41, No. 20, July 1, 2024
(a) All
				tasks performed by pharmacy technicians in the pharmacy must be accomplished
				under the immediate supervision of an Oklahoma currently licensed pharmacist.
(b) Non-dispensing and
				non-compounding tasks performed in the floor stock or "satellite" areas must be
				under the supervision of the pharmacist.
(c) A pharmacy technician may perform certain
				non-judgmental tasks of dispensing as enumerated in this Subchapter provided
				that whenever the pharmacist leaves the pharmacy, all dispensing shall cease.
				Certified medical orders may be delivered during a pharmacist's absence.
(d) The pharmacist shall include
				in the Policy and Procedure Manual the specific scope of responsibilities or
				procedures delegated to pharmacy technicians and the in-service training of
				pharmacy technicians.
(e) The
				ratio of pharmacy technicians to supervising pharmacists shall be set by the
				Director of Pharmacy and should be a ratio that would be considered safe and
				reasonable by the certifying pharmacist. The ratio shall not exceed four
				pharmacy technicians to one supervising pharmacist.
(f) A pharmacy intern working in the pharmacy
				will not affect or change this ratio.
(g) A licensed pharmacy intern shall not
				supervise pharmacy technicians.
(h) The pharmacist shall do the final check
				and certification of the technical tasks performed by technicians. This
				certification shall be by means of the certifying pharmacist's signature,
				initial or other identifying mark on a record, the medication order and/or
				label.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.3 - Auxiliary supportive personnel tasks

Current through Vol. 41, No. 20, July 1, 2024
Auxiliary supportive personnel may perform the following
				  tasks:
(1) Retrieve prescriptions or
				files as necessary;
(2) Clerical
				tasks such as data entry, typing labels and maintaining patient
				profiles;
(3) Secretarial tasks
				such as telephoning, filing, and typing;
(4) Accounting tasks such as record keeping,
				maintaining accounts receivables, third party billing and posting;
(5) Inventory control tasks including
				monitoring, pricing, dating, invoicing, stocking pharmacy, and preparation of
				purchase orders; and,
(6) Help
				maintain a clean and orderly pharmacy.
Added at 18 Ok Reg 2738,
				  eff 7-1-01; Amended at 20 Ok Reg 2982, eff 9-2-03 (emergency); Amended at 21 Ok
				  Reg 2452, eff 7-1-04
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.5 - Prohibited duties

Current through Vol. 41, No. 20, July 1, 2024
These prohibited duties shall be performed by a pharmacist
				  and shall not be performed by supportive personnel:
(1) Final interpretation of the prescriber's
				original order.
(2) Performance of
				the prospective drug utilization review and determination of action to be taken
				when there is an indication of a drug interaction.
(3) Receipt of new phone-in prescriptions
				from prescribers or their agents.
(4) Determination of product selection if
				substitution is requested or approved.
(5) Certification of the completed
				prescription or medication order for accuracy and completeness before
				dispensing from the pharmacy department.
(6) Provision of patient counseling or drug
				information as necessary.
Added at 18 Ok Reg 2738,
				  eff 7-1-01; Amended at 20 Ok Reg 2982, eff 9-2-03 (emergency); Amended at 21 Ok
				  Reg 2452, eff 7-1-04
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.6 - Pharmacy technician annual permit requirement

Current through Vol. 41, No. 20, July 1, 2024
(a) Annual permit requirements for pharmacy
				technicians are set forth in this Title, in
				535:15-13-8
				and in 535:25.
(b) No pharmacy
				technician permit shall be issued or continued for an applicant or permit
				holder who fails to meet and maintain the requirements in 535:25-3 and 535:25-7
				or who violates the rules in 535:25-9.
(c) A pharmacy technician must be employed in
				a licensed pharmacy located in Oklahoma to be eligible to renew their pharmacy
				technician permit.
Added at 18 Ok Reg 2738,
				  eff 7-1-01; Amended at 24 Ok Reg 2257, eff
				  7-1-07
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.7 - Permit display

Current through Vol. 41, No. 20, July 1, 2024
Each pharmacy technician permit issued by the Board shall be
				  displayed as set forth in
				  535:15-13-9.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.8 - Change of address and employment location notification

Current through Vol. 41, No. 20, July 1, 2024
A pharmacy technician must notify the Board of change of
				  address or employment location as set forth in
				  535:15-13-10.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.9 - Multiple employment locations

Current through Vol. 41, No. 20, July 1, 2024
A pharmacy technician may work in more than one pharmacy
				  location provided the tech has been "trained" for each location and the
				  training is documented in each pharmacy.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.10 - Work schedule display

Current through Vol. 41, No. 20, July 1, 2024
A pharmacy shall display a work schedule as required by
				  535:15-13-12.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.11 - Technician training

Current through Vol. 41, No. 20, July 1, 2024
Pharmacy technicians shall meet the training requirements as
				  set forth in
				  535:15-13-13.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-7.12 - Identification of Pharmacy technicians

Current through Vol. 41, No. 20, July 1, 2024
Pharmacy technicians practicing in a hospital shall be
				  distinctly identifiable from practicing pharmacists.
Added at 18 Ok Reg 2738,
				  eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-8 - Absence of pharmacist

Current through Vol. 41, No. 20, July 1, 2024
During such times as a hospital pharmacy may be unattended by
				  a registered pharmacist, arrangements shall be made in advance by the Director
				  of Pharmacy for provision of drugs to the medical staff and other authorized
				  personnel of the hospital facility by use of night cabinets and in emergency
				  circumstances, by access to the pharmacy. A pharmacist must be "on call" during
				  all absences. Written policies and procedures shall be established to implement
				  the requirements of this section and shall be available for Board
				  review.
(1)
Night
				cabinets.
IF NIGHT CABINETS ARE USED THE FOLLOWING SHOULD PREVAIL: In
				the absence of a registered pharmacist, controlled drugs shall be kept in
				locked cabinet(s) or other enclosure(s) constructed and located outside of the
				pharmacy area, to which only specifically authorized personnel may obtain
				access by key or combination, and which is sufficiently secure to deny access
				to unauthorized person by force or otherwise. The Director shall, in
				conjunction with the appropriate committee of the hospital facility, develop
				inventory listings of those drugs to be included in such cabinet(s) and shall
				insure that:
(A) such drugs available therein
				are properly labeled;
(B) only
				prepackaged drugs are available therein, in amounts sufficient for immediate
				therapeutic requirements;
(C)
				whenever access to such cabinet(s) shall have been gained, written physician's
				orders and proofs of use, if applicable, are provided; and,
(D) proper inventories and a complete review
				of all activity concerning such cabinet(s) are conducted no less than once per
				month.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-9 - Hospital pharmacy physical requirements

Current through Vol. 41, No. 20, July 1, 2024
A hospital pharmacy shall have sufficient facilities to
				  ensure that drugs are prepared in sanitary, well-lighted and enclosed places,
				  and which meet the other requirements of this Chapter. The following are in
				  addition to the equipment requirements listed in
				  535:15-3-4.
(1)
Equipment and materials.
Each hospital pharmacy shall have sufficient equipment and physical facilities
				for proper compounding, dispensing and storage of drugs.
(2)
Sterile compounds.
For
				sterile compounded preparations, a hospital must comply with 535:15-10 Part
				3.
(3)
Storage.
All
				pharmaceuticals bearing a federal legend such as "RX Only" and medications
				administered in the hospital shall be stored in designated areas within the
				hospital which are sufficient to insure proper sanitation, temperature, light,
				ventilation, moisture control, segregation and security. The storage shall be
				as directed by the Director of Pharmacy and shall remain under the direct
				supervision of a pharmacist.
(4)
Alcohol and flammables.
Alcohol and flammables shall be stored in
				areas that shall, at a minimum, meet basic local building code requirements for
				the storage of volatiles and such other laws, ordinances or regulations as may
				apply.
(5)
Unattended
				areas.
In the absence of authorized personnel in a hospital medication
				area, such area shall be locked and inspected on a regular schedule of at least
				monthly as directed by the Director of Pharmacy.
(6)
Security.
All areas occupied
				by a hospital pharmacy shall be capable of being locked by key or combination
				to prevent access by unauthorized personnel.
Amended at 9 Ok Reg
				  2141, eff 6-11-92; Amended at 10 Ok Reg 3171, eff 6-25-93; Amended at 18 Ok Reg
				  2738, eff 7-1-01; Amended at 22 Ok Reg 2172, eff
				  7-1-05
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-9.1 - Hospital pharmacy library requirements

Current through Vol. 41, No. 20, July 1, 2024
A hospital pharmacy library shall contain the following
				  current reference books or computer sources:
(1) Library menu. A recent copy of any two of
				the following:
(A) USP/NF (3 years or latest
				edition),
(B) Merck Manual (3 years
				or latest edition),
(C) Remington
				(6 years),
(D) A toxicology
				reference (3 years),
(E) Mosby's
				Drug Consult (2 years),
(F) Facts
				and Comparisons (2 years),
(G)
				ASHP, American Hospital Formulary Service (AHFS) Drug Information (2
				years),
(H) Monthly Prescribing
				Reference (MPR) (2 years),
(I) Drug
				Information Handbook (2 years),
(J)
				Thomson Micromedex, USP-DI (2 years); and/or,
(K) Current computer professional pharmacy
				reference program, approved by the Board (not duplicating a hard copy
				reference) e.g., one or two of the following:
(i) Thomson Micromedex, USP-DI
(ii) Clinical Pharmacology
(iii) Facts and Comparisons
(iv) Natural Medicines Comprehensive Database
(v) Trissel's 2 Clinical
				Pharmaceutical Database
(vi)
				Unlimited internet access to internet professional pharmacy reference program,
				e.g., WEB MD
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-10.1 - Labeling

Current through Vol. 41, No. 20, July 1, 2024
Hospital pharmacies shall label drugs in the following
				  manner:
(1)
For use inside the
				hospital facility.
All drugs dispensed by a hospital pharmacy to any
				department of the hospital system, intended for use within the facility, shall
				be adequately labeled.
(2)
For use outside the hospital facility.
All drugs dispensed by a
				hospital pharmacy whose patients are about to be discharged, or patients that
				receive emergency treatment, or to whom it is certain will take the drug
				dispensed outside of the facility, shall be labeled with the following
				information:
(A) Name and address of the
				hospital pharmacy,
(B) Date and
				identifying serial number,
(C) Name
				of the patient,
(D) Directions for
				use to the patient,
(E) Name of the
				prescriber,
(F) Initials of the
				dispensing pharmacist,
(G) Required
				precautionary information regarding controlled substances,
(H) Such other accessory or cautionary
				information as may be required or desirable for proper use and safety to the
				patient, and
(I) The name of the
				drug, its strength, and the number of units dispensed.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-10.2 - Medication orders

Current through Vol. 41, No. 20, July 1, 2024
The following rules apply to hospital pharmacies regarding
				  prescriber medication orders:
(1)
				Drugs may be dispensed to specific patients only upon the written or verbal
				prescription or medication order of an authorized physician. A pharmacist or
				other authorized individual in a patient care area of the hospital facility
				must commit verbal orders to writing.
(A)
Authorization.
The appropriate hospital committee shall designate
				the prescribers authorized to issue orders for hospital patients.
(B)
Requirements.
Orders for
				drugs for use by inpatients of the facility shall, at a minimum, contain the
				patient name and room number, drug name, strength, directions for use, any
				relevant stop date or time, order date, and the physician's signature. A direct
				copy or facsimile of the order is to be provided to the pharmacy from which the
				order is to be processed.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-11 - Non-distributive roles of pharmacists

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Written policies and procedures of the Department of Pharmacy shall reflect the
				scope of non-distributive roles carried out by the pharmacists of the
				institution and be readily available for inspection by the Board.
(b) These policies shall include a
				description of the credentials and certifications required of pharmacists by
				the appropriate hospital committees.
(c) These policies shall include the process
				for pharmacist credentialing and/or certifying and must comply with state and
				federal regulation.
Amended at 18 Ok Reg
				  2738, eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-12 - Administration of drugs to patients

Current through Vol. 41, No. 20, July 1, 2024
(a)
General provisions.
Drugs shall be administered at a hospital
				facility in accordance with the policies and procedures of that
				facility.
(b)
Self-administration.
Self-administration of drugs by patients
				shall be permitted only when specifically authorized by the prescribing
				physician, provided a pharmacist or physician has identified the
				drugs.
Amended at 18 Ok Reg
				  2738, eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-13 - Medications from other sources

Current through Vol. 41, No. 20, July 1, 2024
(a)
Drugs from outside pharmacies.
Whenever drugs or pharmaceutical
				services are obtained from outside of a hospital facility, arrangements shall
				be made to insure that such outside pharmacies provide their services in a
				manner which assures the safety of the patients and properly serves the need of
				the hospital facility. Such arrangements shall be made in writing and shall at
				a minimum specify that:
(1) A pharmacist
				shall act in the capacity of a Director of Pharmacy, and therefore, shall be
				subject to these rules and regulations.
(2) A pharmacist shall provide on-call
				services at all times.
(3) The
				hospital will provide adequate storage facilities for these drugs.
(4) All drugs supplied shall be labeled so as
				to insure that recalls can be effected and that proper control and supervision
				of such drugs may be exercised. (Unit dose packaging is recommended).
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-14 - Performance improvement

Current through Vol. 41, No. 20, July 1, 2024
(a)
Purpose.
As a part of the hospital or health system's performance
				improvement program, the quality and appropriateness of patient care services
				provided by the Department of Pharmacy shall be monitored and evaluated through
				a planned and systematic approach to improving performance.
(b)
Responsibility.
The Director
				of Pharmacy is responsible for assuring that the process described in this
				Section is implemented to assure safe use of drugs for good patient outcomes.
(1) The Board recommends the Director of
				Pharmacy serve as a voting member of the hospital wide Performance Improvement
				Committee.
(2) The Board recommends
				the Director of Pharmacy assume a leadership role within the hospital or health
				system for the medication-use process performance improvement (including
				dispensing, administration, monitoring, prescribing, and education) across the
				continuum of care.
(3) The Director
				of Pharmacy shall work in collaboration with patients, prescribers, nurses, and
				other health care providers in improving the medication use process.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-15 - Investigational drugs

Current through Vol. 41, No. 20, July 1, 2024
(a)
Use
				within hospital.
Policies and procedures of the Department of Pharmacy
				shall reflect the use of investigational drugs within the hospital facility.
				The Director of Pharmacy shall maintain a list of investigational drug
				protocols and agents being used in the hospital readily available for review by
				the Board.
(b)
Approval for
				use.
The appropriate committee of the hospital shall approve all
				investigational drugs for use within a hospital.
(c)
Labeling and administration.
All investigational drugs shall be labeled in accordance with this Chapter with
				the drug's investigational status identified on the label. In addition, the
				individual responsible for the administration of the drug must be provided with
				complete information regarding its use.
(d)
Storage.
Investigational
				drugs shall be stored in an area separated from approved pharmaceuticals and
				shall have the capacity to be locked and secured.
Amended at 18 Ok Reg
				  2738, eff 7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-16 - Monthly inspections

Current through Vol. 41, No. 20, July 1, 2024
The Director of Pharmacy, or his appropriate designee, shall
				  conduct an inspection of all areas of the hospital on at least a monthly basis.
				  This inspection shall include, but not be limited to, the following (see
				  535:15-5-10
				  for additional requirements):
(1)
				Drugs for internal use are stored separately from drugs and disinfectants for
				external use.
(2) Drugs requiring
				special storage conditions to insure their stability are properly
				stored.
(3) No outdated drugs are
				stocked in the facility.
(4)
				Distribution, administration, and wastage of controlled substances are properly
				and adequately documented and reported.
(5) Emergency drugs, designated pursuant to
				535:15-5-8,
				are adequate and in proper supply.
(6) All necessary and required security and
				storage standards are met.
(7)
				Metric-apothecaries' weight and measure conversion tables and charts are
				reasonably available to all medical personnel.
(8) Policies and procedures of the Department
				of Pharmacy of the hospital facility are followed.
Amended at 9 Ok Reg
				  2141, eff 6-11-92; Amended at 18 Ok Reg 2738, eff
				  7-1-01
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-17 - Board of Pharmacy inspections

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				Board's qualified designee shall inspect all aspects of the management and
				operation of all hospital pharmacies in the State of Oklahoma.
(b) This allows verification of compliance
				with the law, the State Board of Pharmacy regulations, and such other standards
				as may be appropriate to insure the health, safety and welfare of patients of
				the facility serviced by the hospital pharmacy.
(c) Any discrepancies or deficiencies noted
				at inspection shall be corrected.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-18 - Drug rooms

Current through Vol. 41, No. 20, July 1, 2024
(a) A drug room, as
				defined in
				535:15-5-2, shall
				comply with all federal, state and local rules for drug rooms.
(b) At a minimum there shall be a consultant
				pharmacist on duty as required by the rules of the Oklahoma State Department of
				Health.
(c) The drugs dispensed
				from a drug room shall be for administration only to patients in the facility
				hospital.
Added at 11 Ok Reg 3431,
				  eff 6-27-94; Amended at 20 Ok Reg 2479, eff
				  1-1-04
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 5 - Hospital Pharmacies › Section 535:15-5-19 - Remote medication order processing (RMOP)

Current through Vol. 41, No. 20, July 1, 2024
(a) Hospitals, the pharmacist manager and the
				director of pharmacy at the hospital that allow remote medication order
				processing shall establish and maintain policies and procedures related to
				remote medication order processing.
(1) Such
				registrants remain responsible to assure the hospital pharmacy meets
				requirements under Oklahoma laws and rules.
(2) Such registrants shall be responsible to
				assure RMOP, if used, is reviewed at least annually and that proper
				credentialing, review and that oversight is established, maintained and
				exercised.
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 6 - Hospital Drug Room › Section 535:15-6-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules of this Subchapter, as authorized under 59 O.S.
				  Section
				  353.7
				  and
				  353.18(a),
				  establish the rules for all hospital drug rooms. Compliance with these rules
				  are the responsibility of the hospital drug room, the pharmacist in charge, and
				  include requirements for pharmacists working in the drug
				  room.
Added at 20 Ok Reg 2479,
				  eff 1-1-04; Amended at 27 Ok Reg 2249, eff
				  7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 6 - Hospital Drug Room › Section 535:15-6-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this Subchapter,
				  shall have the following meaning, unless the context clearly indicates
				  otherwise:
"Adverse Drug Event"
or
"ADE"
means
				  an injury from a medicine or lack of an intended medicine.
"Contract employee"
means any person who performs
				  services or labor for a hospital, and whose compensation may or may not be
				  reflected on the payroll records of a hospital. Examples of pharmacy contract
				  employees are consultant D.Ph., relief D.Ph. and/or volunteer D.Ph.
"Drug room"
or
"Hospital drug
				  room"
means a secured room where drug inventories are maintained for use
				  in a hospital, with less than 100 licensed beds including bassinets, licensed
				  and regulated by the Oklahoma Health Department and by the Oklahoma
				  Board.
"Drug room supervisor"
means an Oklahoma
				  registered nurse, licensed practical nurse, or licensed pharmacist (D.Ph.) as
				  described in OAC
				  310:667-21-2(c).
"Pharmacist-in-Charge" or "PIC"
means an Oklahoma
				  licensed pharmacist director or consultant of the hospital drug room, either
				  employed or a contract employee.
"Remote medication order processing" or
				  "RMOP"
means the processing of a medication order for a hospital facility
				  by a pharmacist located in a remote medication order processing pharmacy site.
				  Remote medication order processing does not include the dispensing of a drug,
				  but may include receiving, interpreting, evaluating, clarifying and approval of
				  medication orders. Additionally, remote medication order processing may include
				  order entry, other data entry, performing prospective drug utilization review,
				  interpreting clinical data, performing therapeutic interventions, and providing
				  drug information services, and authorizing release of the medication for
				  administration.
"Remote site"
means a site located within the
				  continental United States or District of Columbia that is electronically linked
				  to the hospital site via a computer for the purposes of remote medication order
				  processing to a remote medication order processing pharmacy.
Added at 20 Ok Reg 2479,
				  eff 1-1-04; Amended at 27 Ok Reg 2256, eff
				  7-11-10
Oklahoma Administrative Code › Title 535 - Oklahoma State Board of Pharmacy › Chapter 15 - Pharmacies › Subchapter 6 - Hospital Drug Room › Section 535:15-6-3 - Registration

Current through Vol. 41, No. 20, July 1, 2024
(a) All Oklahoma hospital drug rooms shall be
				licensed annually with the Board of Pharmacy at a fee set by the
				Board.
(b) A hospital drug room
				license shall be issued only to those drug rooms that satisfy and maintain
				compliance with the provisions of Title 59 O.S. Section 353.18(a), OAC Title
				535, 535:25 for rules regarding registrants, and the rules of this
				Subchapter.
(c) Each drug room, in
				order to obtain and maintain a hospital drug room license shall have an
				Oklahoma D.Ph. as the PIC.
Added at 20 Ok Reg 2479,
				  eff 1-1-04