North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 26 - MENTAL HEALTH, GENERAL › Subchapter E - MANUFACTURERS: DISTRIBUTORS: DISPENSERS AND RESEARCHERS OF CONTROLLED SUBSTANCES › Section .0300 - PRESCRIPTIONS › Section 26E .0305 - HOSPITALS NOT HAVING 24 HOUR PHARMACY SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
In those hospitals not having 24-hour outpatient pharmacy
					 services or those hospitals having no outpatient pharmacy services, controlled
					 substances dispensed to emergency department patients when the pharmacy service
					 is closed shall follow this procedure:
(1) All controlled substances shall be
				  dispensed to a bona fide patient, or his agent, of the emergency room pursuant
				  to the written or verbal order of a licensed practitioner who is registered
				  with the Federal Drug Enforcement Administration to prescribe or dispense
				  controlled substances.
(2) The
				  pharmacist designated by the hospital shall be responsible for developing and
				  supervising a system of control and accountability of all controlled substances
				  administered in or dispensed from the emergency department.
(3) The hospital's emergency department
				  committee (or like group or person responsible for policy in that department)
				  in conjunction with the hospital pharmacy shall develop an emergency department
				  formulary or controlled substances list of those controlled substances which
				  may be dispensed from the emergency department for patients receiving care in
				  that department. This formulary or controlled substances list shall consist of
				  controlled substances of the nature and type to meet the immediate need of
				  emergency department patients, and quantities in each container shall be
				  limited to not more than a 24-hour supply.
(4) Such controlled substances shall be
				  prepackaged in suitable safety closure containers and shall be appropriately
				  prelabeled (including necessary auxiliary labels) by the pharmacy so as to
				  provide for all label information necessary for use as well as other
				  information required by law.
(5) At
				  the time of delivery of the controlled substance, the physician, or physician
				  assistant or a registered nurse under his direction shall appropriately
				  complete the label and initial it.
(6) A suitable and perpetual record of
				  dispensing of these controlled substances shall be maintained in the emergency
				  department. The pharmacist shall verify the correctness of this record at least
				  once a week.
(7) The dispenser
				  shall sign the record of dispensing that is maintained in the emergency
				  department to verify the controlled substance ordered.
(8) When the controlled substances are
				  delivered, the appropriately labeled, prepackaged container of the controlled
				  substance shall be checked for correctness and given to the patient by the
				  physician or by a person authorized to prescribe or dispense controlled
				  substances pursuant to
				  G.S.
				  90-18.1 or by a registered nurse or physician
				  assistant under the supervision of the ordering physician.
Authority
					 G.S.
					 90-100;
					 143B-147(a)(5);
Eff. June 30, 1978;
Amended Eff. May 1, 1990; January 14, 1981;
					 September 15, 1980; September 30, 1978;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2,
					 2016.