Ohio Administrative Code › Title 4729:5 - Dangerous Drugs › Chapter 4729:5-9 - Drug Repositories › Section 4729:5-9-02.7 - Medication orders for inpatients and outpatient prescriptions

Current through all regulations passed and filed through July 1, 2024
(A)
								Dangerous drugs shall be dispensed by a pharmacist for
			 inpatients pursuant to an original patient-specific order issued by a
			 prescriber or a protocol or pre-printed order as authorized in accordance with
			 rule 4729:5-3-12 of the Administrative Code. All controlled substance
			 prescriptions or medication orders shall be issued in accordance with 21 CFR
			 part 1306 (7/1/2019) and 21 CFR part 1311 (7/1/2019).
(1)
									Medication orders
			 for inpatients of an institutional facility transmitted to a pharmacy by use of
			 an electronic drug record keeping system may be considered an original order
			 for the dispensing of drugs. Access to such system for entering and
			 transmitting original orders shall be restricted to personnel authorized in
			 accordance with written policies and procedures of the institutional facility.
			 If the authorized personnel entering the order into the system is not the
			 prescriber, there shall be a system in place requiring the positive
			 identification of the prescriber for each order within a reasonable period of
			 time which shall be made readily retrievable.
(2)
									Oral orders
			 issued by a prescriber for inpatients of an institutional facility may be
			 transmitted to a pharmacist by personnel authorized in accordance with written
			 policies and procedures of the institutional facility. Such orders shall be
			 transcribed by the pharmacist, noting the full name(s) of the authorized
			 personnel transmitting the order. Oral orders issued by a prescriber and
			 transmitted by authorized personnel shall be verified by the prescriber using
			 positive identification within a reasonable time and as required by the written
			 policies and procedures of the facility.
Authorized personnel at an
				institutional facility may transcribe an oral order of a prescriber, including
				those received telephonically, in accordance with rule
				3701-16-09 or
				3701-17-13 of the Administrative
				Code and transmit the written transcription to the pharmacy by facsimile
				machine or electronic prescription transmission system in accordance with
				written policies and procedures of the institutional facility. The transcribed
				order shall include the positive identification of the authorized facility
				personnel who transcribed and transmitted the order to the
				pharmacy.
(a)
										Oral orders for non-controlled substances issued by a
			 prescriber for inpatients of an institutional facility may be transmitted to a
			 pharmacy intern by personnel authorized by, and in accordance with, written
			 policies and procedures of the facility if the pharmacist on duty who is
			 personally supervising the activity of the intern determines that the intern is
			 competent to perform this function.
(i)
											The intern shall immediately transcribe the order,
			 document the full name of the prescriber and, if transmitted by the
			 prescriber's agent, the full name of the agent and shall review the order with
			 the pharmacist on duty. Prior to dispensing, positive identification of the
			 intern and the pharmacist on duty shall be recorded to identify the
			 responsibility for the receipt of the oral order.
(ii)
											The pharmacist
			 on duty is responsible for the accuracy of the prescription.
(iii)
											The pharmacist
			 on duty must be immediately available to answer questions or discuss the
			 prescription with the prescriber or the prescriber's agent.
(b)
										Oral
			 orders for non-controlled substances issued by a prescriber for inpatients of
			 an institutional facility may be transmitted to a certified pharmacy technician
			 in pursuant to rule
			 4729:3-3-04 of the
			 Administrative Code by personnel authorized by, and in accordance with, written
			 policies and procedures of the facility. Oral orders issued by a prescriber and
			 transmitted by authorized personnel shall be verified by the prescriber using
			 positive identification within a reasonable time and as required by the written
			 policies and procedures of the facility.
(3)
									Medication orders
			 for inpatients of an institutional facility transmitted to a pharmacy by use of
			 a facsimile machine shall be transmitted by personnel authorized by, and in
			 accordance with, written policies and procedures of the facility.
Telephonic orders transcribed by
				authorized residential care facility personnel and transmitted to a pharmacy by
				use of a facsimile machine shall comply with the requirements of rule
				3701-16-09 or
				3701-17-13 of the Administrative
				Code and the policies and procedures of the institutional
				facility.
A facsimile shall only be valid as an
				order if a pharmacy retains a printed copy of a facsimile prescription or an
				electronic copy of the facsimile prescription in accordance with paragraph (B)
				of this rule.