North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1008 - CONTROLLED SUBSTANCES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A family care
				  home shall assure a readily retrievable record of controlled substances by
				  documenting the receipt, administration and disposition of controlled
				  substances. These records shall be maintained with the resident's record and in
				  such an order that there can be accurate reconciliation.
(b) Controlled substances may be stored
				  together in a common location or container. If Schedule II medications are
				  stored together in a common location, the Schedule II medications shall be
				  under double lock.
(c) Controlled
				  substances that are expired, discontinued or no longer required for a resident
				  shall be returned to the pharmacy within 90 days of the expiration or
				  discontinuation of the controlled substance or following the death of the
				  resident. The facility shall document the resident's name; the name, strength
				  and dosage form of the controlled substance; and the amount returned. There
				  shall also be documentation by the pharmacy of the receipt or return of the
				  controlled substances.
(d) If the
				  pharmacy will not accept the return of a controlled substance, the
				  administrator or the administrator's designee shall destroy the controlled
				  substance within 90 days of the expiration or discontinuation of the controlled
				  substance or following the death of the resident. The destruction shall be
				  witnessed by a licensed pharmacist, dispensing practitioner, or designee of a
				  licensed pharmacist or dispensing practitioner. The destruction shall be
				  conducted so that no person can use, administer, sell or give away the
				  controlled substance. Records of controlled substances destroyed shall include
				  the resident's name; the name, strength and dosage form of the controlled
				  substance; the amount destroyed; the method of destruction; and, the signature
				  of the administrator or the administrator's designee and the signature of the
				  licensed pharmacist, dispensing practitioner or designee of the licensed
				  pharmacist or dispensing practitioner.
(e) Records of controlled substances returned
				  to the pharmacy or destroyed by the facility shall be maintained by the
				  facility for a minimum of three years.
(f) Controlled substances that are expired,
				  discontinued, prescribed for a deceased resident or deteriorated shall be
				  stored securely in a locked area separately from actively used medications
				  until disposed of.
(g) A dose of a
				  controlled substance accidentally contaminated or not administered shall be
				  destroyed at the facility. The destruction shall be documented on the
				  medication administration record (MAR) or the controlled substance record
				  showing the time, date, quantity, manner of destruction and the initials or
				  signature of the person destroying the substance.
(h) The facility shall ensure that all known
				  drug diversions are reported to the pharmacy, the local law enforcement agency
				  and Health Care Personnel Registry as required by state law and that all
				  suspected drug diversions are reported to the pharmacy. There shall be
				  documentation of the contact and action taken.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. December 1, 1999;
Eff. July 1, 2000;
Amended Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.