North Dakota Administrative Code › Title 61 - Pharmacy, Board of › Article 61-09 - Prescription Drug Inventory of Ambulance Services › Chapter 61-09-01 - Prescription Drug Inventory of Ambulance Services › Section 61-09-01-01 - Prescription drug safeguard and control policy

Current through Supplement No. 393, July, 2024
Each ambulance service shall adopt a written prescription
							drug safeguard policy which, as a condition precedent to obtaining prescription
							drugs for ambulance service purposes, at a minimum, must include the following
							requirements:
1. All prescription
						drugs must be obtained from a North Dakota licensed pharmacy, wholesaler, or
						authorized prescribes at the request of the ambulance service's medical
						director or designee. The prescription drugs must be the property of the
						pharmacy or medical director and not the property of the ambulance
						service.
2. The initial inventory
						of prescription drugs must be obtained by an ambulance service only upon the
						written authorization of the ambulance service's medical director who must be a
						"practitioner" as defined by subsection 17 of North Dakota Century Code section
						43-15-01.
3. The
						pharmacist-in-charge of the licensed pharmacy, a licensed pharmacist, or the
						medical director must be responsible for the security and accountability of the
						prescription drug inventory obtained by an ambulance service.
4. Dispensing or administration of all
						prescription drugs must be pursuant to a standing order, oral instructions, or
						prescription of a practitioner.
5.
						All medications administered must be promptly documented on a patient care
						report, reviewed by the ambulance service's medical director on a monthly basis
						either directly or indirectly through a quality assurance process approved by
						the medical director.
6.
						Replenishment of prescription drugs must be requested by a responsible
						individual. If obtained from a pharmacy, the request must be documented on an
						administration record justifying the order.
If obtained by, or on behalf of, the medical director, drugs
							must be obtained from a North Dakota licensed pharmacy, a wholesaler, or an
							authorized prescriber.
7.
						Expired, damaged, or unused prescription drugs must be returned to the licensed
						pharmacy where obtained or disposed of by the medical director or the medical
						director's designee, according to a written protocol established for this
						purpose.
8. Lost, stolen, or
						misused prescription drugs must be reported to the ambulance service's medical
						director or the pharmacy where they were obtained.
9. The licensed ambulance service must have a
						process, approved by the ambulance service's medical director, or
						pharmacist-in-charge where the drugs were obtained that accounts for all
						schedule II, III, and IV controlled substances, at least daily. The daily
						accounting of schedule II controlled substances must balance and be documented
						on a daily log.
10. Controlled
						substances must be sealed in a double lock secure system. A record separate
						from the other prescription drugs is to be kept for schedule II controlled
						substances. A system approved by the ambulance service's medical director to
						account for the use and waste of schedule II, III, and IV controlled substances
						must be used. The system must include:
a.
						Patient's name and address (if available);
b. Medication and strength or amount given
						and amount wasted (if any);
c.
						Date;
d. Physician's name;
						and
e. The signature of the
						individual administering the controlled substance.